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

Kimberly Nishiyama, DTR

Individual provider Registered Dietetic Technician · NPI 1003308487

Kimberly Nishiyama, DTR is a Registered Dietetic Technician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

20325 N 51st Ave
Glendale, AZ 85308-5674
Phone: (602) 341-5248
Show map & directions

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

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence 86092429 (AZ)

Record details

NPI number1003308487
Entity typeIndividual (Type 1)
GenderFemale
Credentials DTR
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018
Mailing address20325 N 51st Ave Ste 166, Glendale, AZ 85308-4624

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