Individual provider Active NPI

Jana Marlene Ailes, RD, LD

  • Renal Nutrition Registered Dietitian
  • Reno, NV
National Provider Identifier
1033622253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
920419 Issued in NV
Practice address
670 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 322-4550
Fax
(775) 322-4775
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 920419 NV Primary

Addresses

Primary practice location

670 Sierra Rose Dr
Reno, NV 89511-2072

Mailing address

1949 Hamilton Ave
Carson City, NV 89706-2724
Phone (775) 636-1409

Other practice location 1

410 Fleischmann Way Ste B
Carson City, NV 89703-3973
Phone (775) 322-4550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
920419NVMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033622253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 HAMILTON AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062724",
            "telephone_number": "775-636-1409",
            "fax_number": "775-841-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-322-4550",
            "fax_number": "775-322-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Fleischmann Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897033973",
            "country_code": "US",
            "telephone_number": "775-322-4550",
            "fax_number": "775-883-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AILES",
        "first_name": "JANA",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NV",
            "license": "920419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.