Andersons Nutrition
NPI 1316337652ActiveOrganization· Dietitian, Registered· Mesa, AZ
Dietitian, Registered in Mesa, Arizona, registered in NPPES in January 2015. The authorized official on file is Nicole Anderson- Goodrich, MS, RD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316337652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2015 |
| Last updated in NPPES | May 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1038050 | 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) |
|---|
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