Individual provider Active NPI

Jacquelin Danielle Graham, RD, CSCS

  • Registered Dietitian
  • Scottsdale, AZ
National Provider Identifier
1013426907
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2740 Issued in AL
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

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231117001108 AZ Practitioner - Registered Dietitian Or Nutrition Professional 2264889930 Reassigns benefits to 1 organization

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
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians

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

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Nov 14, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Nov 14, 2023 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.

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.

Verify at the official NPI Registry.