Glendale Redbird Co
NPI 1598590291ActiveOrganization· Nutritionist· Glendale, AZ
Nutritionist in Glendale, Arizona, registered in NPPES in September 2024. The authorized official on file is Mydung Thi Phan, Cfo.
Overview
| NPI | 1598590291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2024 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — | — |
| Peer Specialist | 175T00000X | — | — |
| Point of Service | 305S00000X | — | — |
| Private Vehicle | 347C00000X | — | — |
| Transportation Broker | 347E00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nutritionist providers in Glendale
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