Am Nutrition Services
NPI 1003011602ActiveOrganization· Dietitian, Registered· Glendale, AZ
Dietitian, Registered in Glendale, Arizona, registered in NPPES in June 2007. The authorized official on file is Amy Elizabeth McCallister, RD, Dietitian. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003011602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2007 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 875272 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (NV) |
|---|
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