Active NPI
Jacquelin Danielle Graham, RD, CSCS
- Registered Dietitian
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2740
- Practice address
- 7400 N Dobson Rd
Scottsdale, AZ 85256-2768 - Phone
- (480) 733-7450
- NPI assigned
- Sep 24, 2017
- 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 | 2740 | AL | Primary |
Addresses
Primary practice location
7400 N Dobson Rd
Scottsdale, AZ 85256-2768
Mailing address
14425 N 42ND PL
Phoenix, AZ 85032-5403
Phone (908) 894-8700
Other practice location 1
14418 N 42nd Pl
Phoenix, AZ 85032-5404
Phone (908) 894-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7400 N Dobson Rd
Suite 201
Scottsdale, AZ 85256-2736
Phone (408) 733-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients |
Locations
755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111
4200 E Camelback Rd
Ste 104
Phoenix, AZ 85018
Phone (602) 229-2110
755 E McDowell Rd
Ste 201
Phoenix, AZ 85006
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
7400 N Dobson Rd
Ste 201
Scottsdale, AZ 85256
Phone (480) 733-7400
Networks
- NM HMO C-SNP
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1013426907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14425 N 42ND PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325403",
"telephone_number": "908-894-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 N DOBSON RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852562768",
"telephone_number": "480-733-7450"
}
],
"practiceLocations": [
{
"address_1": "14418 N 42nd Pl",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850325404",
"country_code": "US",
"telephone_number": "908-894-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "JACQUELIN",
"middle_name": "DANIELLE",
"credential": "RD, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-24",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.