| Courtney Addison, | |
|
1237 S Val Vista Dr, Mesa, AZ 85204-6401 | |
| (480) 294-6543 | |
| (480) 294-6544 |
| Full Name | Courtney Addison |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1237 S Val Vista Dr, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356725915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Addison, Po Box 1564, Mesa, AZ 85211-1564 Ph: (480) 294-6543 | Courtney Addison, 1237 S Val Vista Dr, Mesa, AZ 85204-6401 Ph: (480) 294-6543 |
Alexandra Marie Franklin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 S. Power Rd., Bldg. #9, Suite 222, Mesa, AZ 85209 Phone: 480-276-5984 | |
Dr. John St. Rose Jr., ND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 E University Dr Ste 10, Mesa, AZ 85203 Phone: 480-712-7099 | |
Lauren Turilli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 W Brown Rd, Mesa, AZ 85201 Phone: 480-684-5087 Fax: 480-684-5026 | |
Ms. Antoinetta V Anselmo, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 544 N Alma School Rd Unit 5, Mesa, AZ 85201 Phone: 602-803-4522 Fax: 480-621-8109 | |
Julie Lammers, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1450 S Dobson Rd Ste B221, Mesa, AZ 85202 Phone: 480-827-5370 | |
Rogelio Pena, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1511 W 7th Pl, Mesa, AZ 85201 Phone: 480-280-4414 | |
Laura L Savarese, M.S. R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1935 E 8th St, Mesa, AZ 85203 Phone: 480-216-1635 |