ANDERSONS NUTRITION
NPI 1316337652
Dietitian, Registered in Mesa, AZ

Q: What is Andersons Nutrition's NPI number?

The NPI number for Andersons Nutrition is 1316337652. It was assigned to this organization in the NPPES registry on January 26, 2015.

Q: What is Andersons Nutrition's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since January 26, 2015

4904 S POWER RD, ST 188-106, MESA, AZ 85212(602) 770-7611 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Andersons Nutrition NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSONS NUTRITION (NPI 1316337652) is a healthcare organization registered as a dietitian, registered in Mesa, Arizona and active in the NPI registry since January 2015. The organization lists Nicole Anderson- Goodrich, President, as its authorized official.

NPPES Registry Identity

NPI1316337652

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameANDERSONS NUTRITION

Location Address4904 S POWER RD, ST 188-106Mesa, AZ 85212

Mailing Address4904 S Power Rd, St 188-106Mesa, AZ 85212-3609

Phone(602) 770-7611

Organization SubpartNo

Authorized OfficialNicole Anderson- GoodrichPresident · (602) 770-7611

Enumeration DateJanuary 26, 2015

Last NPPES UpdateMay 15, 2018

✔ NPI 1316337652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 1038050

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4904 S POWER RD, Mesa, AZ 85212

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andersons Nutrition is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Andersons Nutrition, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.