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

Tristine Bogle, RD

Individual provider Registered Dietitian · NPI 1881045375

Tristine Bogle, RD is a Registered Dietitian OR Nutrition Professional in Mesa, Arizona. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
26
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4838 E Baseline Rd Ste 122
Mesa, AZ 85206-4675
Phone: (602) 694-4011
Fax: (833) 561-1964
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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 number1881045375
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJune 26, 2016
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address3564 E Mesquite St, Gilbert, AZ 85296-1830

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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