Mydung T Phan , NUTRITIONIST
Driver β’ Glendale, AZ
6637 N 58th Dr Apt 3
Glendale, AZ 853013900
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
6637 N 58th Dr Apt 3
Glendale, AZ 853013900
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Driver: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Glendale and Arizona
6 active clinicians are listed under Driver with a practice address in Glendale, AZ (114 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-02-18NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
NUCC Taxonomy Code: 133N00000X
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
NUCC Taxonomy Code: 133NN1002X
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nutritionist
Nutritionist
NPI status registered as active in NPPES database
Registered at 6637 N 58TH DR APT 3, GLENDALE, AZ 853013900 (Tel: 6236245179)
Registered at 6637 N 58TH DR APT 3, GLENDALE, AZ 853013900 (Tel: 6236245179)
Recorded as MYDUNG PHAN, NUTRITIONIST
Driver
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
6637 N 58th Dr Apt 3
Glendale, AZ 853013900
Phone: 6236245179