Active NPI
Jillian Mancha McLean, RD, LD
- Registered Dietitian
- El Paso, TX
National Provider Identifier
1003300419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82378
- Practice address
- 524 Anasazi CT
El Paso, TX 79912-1271 - Phone
- (956) 645-9716
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82378 | TX | Primary |
Addresses
Primary practice location
524 Anasazi CT
El Paso, TX 79912-1271
Mailing address
524 Anasazi CT
El Paso, TX 79912-1271
Phone (956) 645-9716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82378 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1003300419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 ANASAZI CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799121271",
"telephone_number": "956-645-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 ANASAZI CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799121271",
"telephone_number": "956-645-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "JILLIAN",
"middle_name": "MANCHA",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.