Red Mountain Dietitian Services LLC
NPI 1578327110ActiveOrganization· Dietitian, Registered· Mesa, AZ
Dietitian, Registered in Mesa, Arizona, registered in NPPES in February 2024. The authorized official on file is Tina Alexander, RDN, Owner. Enrolled in Medicare as mdpp supplier - in-person mdpp supplier.
Overview
| NPI | 1578327110 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2024 |
| Last updated in NPPES | Feb 13, 2024 |
| Certified by provider | Feb 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
| Registered Nurse, Diabetes Educator | 163WD0400X | — | — |
| Health & Wellness Coach | 171400000X | — | — |
| Health Educator | 174H00000X | — | — |
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 Mdpp Supplier - In-Person Mdpp Supplier (AZ) |
|---|
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