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

Vanessa Jayne Koop

Individual provider Registered Dietitian · NPI 1679426886

Vanessa Jayne Koop is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2021, 5 years ago. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2026
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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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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 86296371 (AZ)

Record details

NPI number1679426886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address2601 E Roosevelt St, Phoenix, AZ 85008-4973

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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