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

Tatem Johnston

Individual provider Registered Dietitian · NPI 1740134287

Tatem Johnston is a Registered Dietitian OR Nutrition Professional in Glendale, Arizona. Qualified in 2024, 2 years ago. Practices with Am Nutrition Services, a 48-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2026
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Practice location Address checks out

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398
Phone: (623) 399-6825
Fax: (623) 505-3474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86392735 (AZ)

Record details

NPI number1740134287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Am Nutrition Services — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale