Individual provider Active NPI

Jaclyn Michele Helm, MS,RD,CD

  • Registered Dietitian
  • Spokane, WA
National Provider Identifier
1023569563
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60704379 Issued in WA
Practice address
2820 N Astor St
Spokane, WA 99207-2112
Phone
(509) 252-5792
Fax
(509) 340-7323
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 DI60704379 WA Primary

Addresses

Primary practice location

2820 N Astor St
Spokane, WA 99207-2112

Mailing address

2820 N Astor St
Spokane, WA 99207-2112
Phone (509) 252-5792

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI60704379WAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1023569563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N ASTOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072112",
            "telephone_number": "509-252-5792",
            "fax_number": "509-340-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N ASTOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072112",
            "telephone_number": "509-252-5792",
            "fax_number": "509-340-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "JACLYN",
        "middle_name": "MICHELE",
        "credential": "MS,RD,CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60704379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.