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

Gina Marie Keenan, RDN

Individual provider Registered Dietitian · NPI 1275927915

Gina Marie Keenan, RDN is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2015
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

12621 N Tatum Blvd # 1850
Phoenix, AZ 85032-7710
Phone: (602) 688-4268
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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 number1275927915
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedMarch 19, 2015
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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