Individual provider Active NPI

Jared James White, RD LD CNSC

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1215716782
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82516 Issued in TX
Practice address
5339 N Ih 35
Austin, TX 78723-2557
Phone
(512) 978-8130
NPI assigned
Sep 25, 2023
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 DT82516 TX Primary

Addresses

Primary practice location

5339 N Ih 35
Austin, TX 78723-2557

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-8000

Other practice location 1

2800 Webberville Rd
Austin, TX 78702-2947
Phone (512) 978-8113

Other names 1

  • Mr. Jared James White Other name

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
DT82516TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Healthcare District CurrentSince Oct 1, 2023 Accepting new patients
Community Care Collaborative PastSince Oct 1, 2023 Accepting new patients

Locations

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1215716782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209",
            "telephone_number": "512-978-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232557",
            "telephone_number": "512-978-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Webberville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787022947",
            "country_code": "US",
            "telephone_number": "512-978-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "RD LD CNSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "WHITE",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "JARED J WHITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.