Jazmin Denise Mickens, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86431990 Issued in AZ

Practice address

6975 W Glendale Ave
Glendale, AZ 85303-2611

Phone

(602) 243-7277

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1033021068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 W INDIAN SCHOOL RD APT H201",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853920063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 W GLENDALE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032611",
            "telephone_number": "602-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "JAZMIN",
        "middle_name": "DENISE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86431990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L. Sweeney,MSW,P.C.
• Cecil Frances Michael Jr., MD
• Rebecca Jeannine Michael, FNP-C
• Glenn Micheels, D.C.
• Stephanie Larsen Mickelsen, LCSW
• Lexi Lynn Mickey, AGDNP-C
• Christopher Justin Micu
• Donald Ray Middleton, DO
• Midwestern University
• Midwestern University (Midwestern University Dental Institute)

• Registered Dietitian in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.