Individual provider · NPI-1

Jill Coscarelli

Dietitian, Registered · Tempe, AZ

NPI number1710862818
StatusActive
Last updated in NPPESAug 7, 2025

Details

NPI
1710862818
Entity type
Individual (NPI-1)
Name
Jill Coscarelli
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2025
Certification date
Aug 7, 2025
Last updated
Aug 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT92382TXYes

Practice location

1840 E Broadway Rd
Tempe, AZ 85282-1614

Phone 602-243-7277

Mailing address

825 W Queen Creek Rd Apt 2076
Chandler, AZ 85248-3211

Phone 602-885-3235

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dietitian, Registered providers in Tempe, AZ