Am Nutrition Services - Medicare Dietitian in Glendale, AZ

Am Nutrition Services is a medicare enrolled "Dietitian, Registered" provider in Glendale, Arizona. Their current practice location is 18001 N 79th Ave Ste A12, Glendale, Arizona. You can reach out to their office (for appointments etc.) via phone at (623) 399-6825.

Am Nutrition Services is licensed to practice in Arizona (license number 875272) and it also participates in the medicare program. Am Nutrition Services is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003011602.

Contact Information

Am Nutrition Services
18001 N 79th Ave Ste A12,
Glendale, AZ 85308
(623) 399-6825
(623) 505-3474

Map and Direction




Healthcare Provider's Profile

Full NameAm Nutrition Services
TypeFacility
SpecialityDietitian, Registered
Location18001 N 79th Ave Ste A12, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003011602
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 08/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254430580
  • Enrollment ID: O20070627000063

Medical Identifiers

Medical identifiers for Am Nutrition Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003011602NPI-NPPES
V62714OtherNVPTAN
Z115443OtherAZPTAN
547661MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 875272 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Am Nutrition Services acts as a billing entity for following providers:
Provider NameAmy Mccallister
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1710044011
PECOS PAC ID: 5991776783
Enrollment ID: I20040804001309
Provider NameCrystal R Barrows
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1447466610
PECOS PAC ID: 6800995473
Enrollment ID: I20070621000621
Provider NameDiana M Mrozek
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225449382
PECOS PAC ID: 7113143652
Enrollment ID: I20140718001516
Provider NameKatrina O Samuels-garrison
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1720470289
PECOS PAC ID: 1759609381
Enrollment ID: I20150410002587
Provider NameDeborah E Beebe
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1518493303
PECOS PAC ID: 9436426186
Enrollment ID: I20170530002347
Provider NameJacob A Brown
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1972073856
PECOS PAC ID: 6002153319
Enrollment ID: I20190124001962
Provider NamePaige Bess
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811464803
PECOS PAC ID: 9931440245
Enrollment ID: I20190416000177
Provider NameBaylee M Evans
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1487214292
PECOS PAC ID: 7214263417
Enrollment ID: I20190725002227
Provider NameKelly Ann Mccormick
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1801431259
PECOS PAC ID: 3577997535
Enrollment ID: I20191227001241
Provider NameDiane Gardner
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1790255024
PECOS PAC ID: 3870922818
Enrollment ID: I20200326002647
Provider NameMadison Christensen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902425267
PECOS PAC ID: 3971933557
Enrollment ID: I20200422002045
Provider NameAnne Clare Curtin
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1497366330
PECOS PAC ID: 8729407358
Enrollment ID: I20201001001523
Provider NameMichelle Hathaway
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1558977538
PECOS PAC ID: 0648680124
Enrollment ID: I20201112001235
Provider NameArda Buyuktimkin
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1407365950
PECOS PAC ID: 3274890694
Enrollment ID: I20210319001801
Provider NameJessica Divis
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1386222396
PECOS PAC ID: 4688082308
Enrollment ID: I20210419002028
Provider NameKrupa Mathew Chackalackal
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1154993533
PECOS PAC ID: 1456754746
Enrollment ID: I20210723002201
Provider NameAlina Ochoa
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1932873197
PECOS PAC ID: 5991109209
Enrollment ID: I20210809003764
Provider NameMegan Anderson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1801565593
PECOS PAC ID: 3375940497
Enrollment ID: I20210916000397
Provider NameSara Woods
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1740959634
PECOS PAC ID: 1850798620
Enrollment ID: I20210921002009
Provider NameHollis Edwards
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235809229
PECOS PAC ID: 4284031964
Enrollment ID: I20210922002662
Provider NameJessica Wotruba
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1861164048
PECOS PAC ID: 5698173144
Enrollment ID: I20211013002479
Provider NameAnateresa De Leon
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1245996636
PECOS PAC ID: 5991194888
Enrollment ID: I20211115002612
Provider NameEmily Claire Ortiz
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1407467343
PECOS PAC ID: 7113316852
Enrollment ID: I20211117003277
Provider NameMiley Nguyen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346997079
PECOS PAC ID: 4587050448
Enrollment ID: I20220403000003
Provider NameMichelle Cesa
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760132914
PECOS PAC ID: 6204222813
Enrollment ID: I20220407002086
Provider NameEmily Brocato
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1154917086
PECOS PAC ID: 3072992213
Enrollment ID: I20220620000523
Provider NameVictoria Anne Goff
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1841925815
PECOS PAC ID: 3779969944
Enrollment ID: I20220926003754
Provider NameDajana Moore
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1386369064
PECOS PAC ID: 4981070703
Enrollment ID: I20221019003215
Provider NameDemetra Evrigenis
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1306561089
PECOS PAC ID: 0345616173
Enrollment ID: I20221019003263
Provider NameKaren Lee Hemmes
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023736295
PECOS PAC ID: 0547638835
Enrollment ID: I20221117000502
Provider NameSarah Thisted
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1083321525
PECOS PAC ID: 7214305549
Enrollment ID: I20221117002151
Provider NameTaylor Wahl
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1912618778
PECOS PAC ID: 2163892746
Enrollment ID: I20221222000722
Provider NameHannah Francis
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1558072967
PECOS PAC ID: 4183095128
Enrollment ID: I20230130001377
Provider NameJennifer Ann Kruchinski
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1851477517
PECOS PAC ID: 9931565116
Enrollment ID: I20230512001324
Provider NameElise Vega
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1609551076
PECOS PAC ID: 4082073515
Enrollment ID: I20230630002691
Provider NameOryana Hannoona
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1972286458
PECOS PAC ID: 5698138543
Enrollment ID: I20230825001118
Provider NameEleni M Hatseras
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225111438
PECOS PAC ID: 7810351806
Enrollment ID: I20230908002306
Provider NameMaddalyn Deitchman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1255116836
PECOS PAC ID: 1951765601
Enrollment ID: I20230913002286
Provider NameOlivia Cain
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1518748128
PECOS PAC ID: 7416303672
Enrollment ID: I20231024001686
Provider NameMichelle Schick
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023882420
PECOS PAC ID: 8628425360
Enrollment ID: I20231116003621
Provider NameMia Tomasula
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1508626292
PECOS PAC ID: 8022458389
Enrollment ID: I20240502004108
Provider NameBrittany Zaharopoulos
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598514655
PECOS PAC ID: 5294177762
Enrollment ID: I20240529003079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Am Nutrition Services is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Am Nutrition Services
18001 N 79th Ave Ste A12,
Glendale, AZ 85308-8398

Ph: (623) 399-6825
Am Nutrition Services
18001 N 79th Ave Ste A12,
Glendale, AZ 85308

Ph: (623) 399-6825

Reviews and Comments


Dietitian, Registered in Glendale, AZ

Cara Jansen, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308
Phone: 623-399-6825    Fax: 623-505-3474
Madison Huot, RDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 11851 N 51st Ave, Glendale, AZ 85304
Phone: 480-882-4545    
Kelly Creed, RDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308
Phone: 623-399-6825    
Ms. Kaitlyn Marie Shannon, RD, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308
Phone: 602-341-5248    Fax: 602-702-5219
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308
Phone: 623-399-6825    Fax: 623-505-3474
Defy Diabetes, Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 18301 N 79th Ave Ste C136, Glendale, AZ 85308
Phone: 623-500-6207    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.