Active NPI
Jennifer Ann Garibaldi, RD, LDN
- Registered Dietitian
- Pearland, TX
National Provider Identifier
1215354105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT86871
- Practice address
- 9720 Broadway St Apt 216
Pearland, TX 77584-8454 - Phone
- (865) 484-6632
- NPI assigned
- Mar 28, 2014
- Last updated
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | ||
| Registered Dietitian | 133V00000X | LD005117 | GA | |
| Registered Dietitian | 133V00000X | DT86871 | TX | Primary |
Addresses
Primary practice location
9720 Broadway St Apt 216
Pearland, TX 77584-8454
Mailing address
10223 Broadway St Ste P401
Pearland, TX 77584-7880
Phone (658) 484-6632
Other practice location 1
4030 Wake Forest Rd Ste 300
Raleigh, NC 27609-6800
Phone (919) 368-0666
Other practice location 2
2400 Herodian Way SE
#220
Smyrna, GA 30080
Phone (504) 430-3395
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 |
|---|---|---|---|
| LD005117 | GA | MD | Registered Dietitian |
| DT86871 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1215354105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10223 BROADWAY ST STE P401",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847880",
"telephone_number": "658-484-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 BROADWAY ST APT 216",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848454",
"telephone_number": "865-484-6632"
}
],
"practiceLocations": [
{
"address_1": "4030 Wake Forest Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096800",
"country_code": "US",
"telephone_number": "919-368-0666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Herodian Way SE",
"address_2": "#220",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "30080",
"country_code": "US",
"telephone_number": "504-430-3395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARIBALDI",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005117",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.