Active NPI
Jacqueline Godinez Lopez, RD
- Registered Dietitian
- Glendale, AZ
National Provider Identifier
1114545449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86068218
- Practice address
- 20325 N 51St Ave Ste 166
Glendale, AZ 85308-4624 - Phone
- (602) 341-5248
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86068218 | AZ | Primary |
Addresses
Primary practice location
20325 N 51St Ave Ste 166
Glendale, AZ 85308-4624
Mailing address
20325 N 51St Ave Ste 166
Glendale, AZ 85308-4624
Phone (602) 341-5248
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jglopez@mphc-az.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86068218 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhling Consulting, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
20325 N 51st Ave
Ste 166
Glendale, AZ 85308
Phone (602) 341-5248
Interoperability endpoints
- https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1114545449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 166",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084624",
"telephone_number": "602-341-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 166",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084624",
"telephone_number": "602-341-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINEZ LOPEZ",
"first_name": "JACQUELINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86068218",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jglopez@mphc-az.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "140 N Litchfield Rd Ste 106",
"city": "Goodyear",
"state": "AZ",
"country_code": "US",
"postal_code": "853381226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.