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

Medical Nutrition Services, LLC

Organization Nutritionist · NPI 1609219872

Medical Nutrition Services, LLC is a Nutritionist in Tempe, Arizona. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
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

1198 W Kelly Ln
Tempe, AZ 85284-3772
Phone: (480) 204-6006
Fax: (480) 436-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X

Record details

NPI number1609219872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Simonetti — Owner · (480) 204-6006
NPI enumeratedApril 8, 2013
Last updated in NPPESJune 29, 2013
Mailing address1198 W Kelly Ln, Tempe, AZ 85284-3772

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