JORDAN S JUREK


Address: 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122
Phone: 6233996825

JORDAN S JUREK (NPI# 1588219745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588219745
Entity Type Individual
Full Name JORDAN S JUREK
Credential RD
Practice Address 3815 E Bell Rd # 4250
Phoenix
AZ 85032-2122
Mailing Address 18001 N 79th Ave Ste A12
Glendale
AZ 85308-8398
Practice Telephone 6233996825
Practice Fax Number 6235053474
Mailing Telephone 6233996825
Mailing Fax Number 6235053474
Enumeration Date 2019-08-05
Last Update Date 2019-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1095369 AZ Dietary & Nutritional Service Providers

Office Location

Street Address 3815 E BELL RD # 4250
City PHOENIX
State AZ
Zip Code 85032-2122

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NPI Name Taxonomy Address Enumeration
1689298838 Eboni Nicole Morris Psychologist 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 2020-06-03
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1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385938 Kylee Makenna Forden Dietitian, Registered 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 2020-10-27
1407467343 Emily Claire Pelham Dietitian, Registered 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 2020-08-13
1255956264 Carrie Standage-beier Dietitian, Registered 6831 S 42nd Pl, Phoenix, AZ 85042-5209 2020-06-15
1447875513 Tyler M Florek Dietitian, Registered 13815 N 34th Ave, Phoenix, AZ 85053-5611 2020-06-14
1467074468 Caitlin May Winsor Dietitian, Registered 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 2020-05-12
1366083883 Cameron Scholtz Dietitian, Registered 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 2019-10-06
1255984035 Rachel Lyn Masser Dietitian, Registered 2810 E Thomas Rd, Phoenix, AZ 85016-8010 2019-07-19
1811555915 Laurie Bradley Mcdonald Dietitian, Registered 13842 S 32nd St, Phoenix, AZ 85044-3615 2019-06-03
1083270821 Kaitlyn C Werner Dietitian, Registered 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 2019-05-16
1417510405 Applied Behavioral Interventions Pllc Dietitian, Registered 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 2019-04-16
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Competitor

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City PHOENIX
Zip Code 85032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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