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Audrey Mattimore, MS, RD
NPI 1164105409 · Registered Dietitian · Phoenix, AZ
Audrey Mattimore, MS, RD is a Registered Dietitian provider in Phoenix, AZ (NPI 1164105409).
Provider details
- NPI number
- 1164105409
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (312) 637-0543
Street-level locationGet directions
Mailing address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Frequently asked questions
- What is Audrey Mattimore's NPI number?
- Audrey Mattimore's National Provider Identifier (NPI) is 1164105409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Audrey Mattimore's specialty?
- Audrey Mattimore is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Audrey Mattimore located?
- Audrey Mattimore's practice location on file with NPPES is 2601 E Roosevelt St, Phoenix, AZ 85008-4973.
- What is Audrey Mattimore's phone number?
- The practice phone number listed in the NPPES registry for Audrey Mattimore is (312) 637-0543.
- Is Audrey Mattimore's NPI active?
- Yes — Audrey Mattimore's NPI (1164105409) is active in the NPPES registry as of the last update on 2023-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.