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

Dr. John St Rose Jr., ND

Individual provider Renal Nutrition Registered Dietitian · NPI 1053808162

Dr. John St Rose Jr., ND is a Renal Nutrition Registered Dietitian in Mesa, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Alabama and Arizona.

Licensed in
AL, AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1050 E University Dr Ste 10
Mesa, AZ 85203-8046
Phone: (480) 712-7099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 N Temple St, Mesa, AZ 85203-7241 — (760) 238-0343

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 171624 (AZ)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 870274 (AL)

Record details

NPI number1053808162
Entity typeIndividual (Type 1)
GenderMale
Credentials ND
Sole proprietorYes
NPI enumeratedApril 16, 2018
Last updated in NPPESOctober 2, 2019

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