Active NPI
Jeremy Michael Partl, RDN
- Registered Dietitian
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2017005239
- Practice address
- 8625 Liberty Park Dr Ste 102
Bakersfield, CA 93311-1381 - Phone
- (314) 603-0949
- NPI assigned
- Sep 27, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 2017005239 | MO | Primary |
Addresses
Primary practice location
8625 Liberty Park Dr Ste 102
Bakersfield, CA 93311-1381
Mailing address
6600 White LN Apt 55
Bakersfield, CA 93309-7783
Phone (314) 603-0949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017005239 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Networks
- TX HMO D-SNP
- TX HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1003467333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 WHITE LN APT 55",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097783",
"telephone_number": "314-603-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 LIBERTY PARK DR STE 102",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933111381",
"telephone_number": "314-603-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTL",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2017005239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.