SOUTHWEST DIETITIAN GROUP
NPI 1952062275
Dietitian, Registered in Gilbert, AZ

Q: What is Southwest Dietitian Group LLC's NPI number?

The NPI number for Southwest Dietitian Group LLC is 1952062275. It was assigned to this organization in the NPPES registry on January 8, 2022. The provider is doing business as Southwest Dietitian Group.

Q: What is Southwest Dietitian Group LLC's specialty?

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

Active since January 08, 2022

428 S GILBERT RD STE 106-2, GILBERT, AZ 85296(602) 218-5278(844) 218-4691 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2022, Jan 8, 2022 (2 updates tracked since 2022).

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About Southwest Dietitian Group NPPES

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

SOUTHWEST DIETITIAN GROUP (NPI 1952062275) is a healthcare organization registered as a dietitian, registered in Gilbert, Arizona and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Gilbert and lists Maya Elizabeth Nahra, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1952062275

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameSOUTHWEST DIETITIAN GROUP LLC

Location Address428 S GILBERT RD STE 106-2Gilbert, AZ 85296-2263

Mailing Address70 S Val Vista Dr Ste A3-527Gilbert, AZ 85296-0944 · (602) 218-5278 · Fax (844) 218-4691

Phone(602) 218-5278

Fax(844) 218-4691

Organization SubpartNo

Authorized OfficialMaya Elizabeth NahraPresident, Owner · (216) 533-4023

Enumeration DateJanuary 8, 2022

Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1952062275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

428 S GILBERT RD STE 106-2, Gilbert, AZ 85296

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Other Names 1

Doing Business AsSouthwest Dietitian Group

Secondary Practice Location 1

Location 1323 S Gilbert Rd Ste 105Gilbert, AZ 85296-1608 · Phone (216) 533-4023

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Dietitian Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southwest Dietitian Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.