MEDICARE: CLAUDIA THOMPSON-FELTY RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86049137	IL

General Provider Information

NPI Number	:	1346610961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA THOMPSON-FELTY RDN

Provider Business Mailing Address
First Line	:	13951 W MEEKER BLVD
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-4424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13951 W MEEKER BLVD
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-4424
Country	:	US
Telephone Number	:	623-215-5098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	03/17/2018

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