Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Innovative Diabetic Center, LLC

Organization Nutritionist · NPI 1235997602

Innovative Diabetic Center, LLC is a Nutritionist in Scottsdale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
12
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10210 N 92nd St Ste 104
Scottsdale, AZ 85258-4531
Phone: (480) 493-0900
Fax: (833) 228-0846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nutritionist Taxonomy 133N00000X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Diabetes Educator Registered Nurse Taxonomy 163WD0400X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Licensed Practical Nurse Taxonomy 164W00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1235997602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Hunn — President · (480) 493-0900
NPI enumeratedMarch 11, 2024
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address10210 N 92nd St Ste 104, Scottsdale, AZ 85258-4531

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