Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Bernadette Mattimore, MS, RD

Individual provider Registered Dietitian · NPI 1164105409

Audrey Bernadette Mattimore, MS, RD is a Registered Dietitian in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (312) 637-0543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1164105409
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD
Sole proprietorNo
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

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