Individual provider · Type 1 NPI

Tana D. Ingram, MS, RDN

Registered Dietitian · Queen Creek, AZ

NPI number 1124500681 Active

Practice location

22072 E Pecan Dr
Queen Creek, AZ 85142-4895

Mailing address

929 N Val Vista Drive, Ste 109, Pmb 1503
Gilbert, AZ 85234-3701

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86069798

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1124500681

Tana D. Ingram, MS, RDN's National Provider Identifier is 1124500681, issued on Aug 31, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Queen Creek, AZ. The record was last updated on Jun 25, 2026.