Active NPI
Jacob W Lamb, RDN
- Registered Dietitian
- Bountiful, UT
National Provider Identifier
1235830415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12803458-4901
- Practice address
- 2836 S 50 W
Bountiful, UT 84010-6407 - Phone
- (385) 382-0820
- NPI assigned
- Mar 14, 2023
- Last updated
- Mar 14, 2023
- Sex
- Male
- 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 | 12803458-4901 | UT | Primary |
Addresses
Primary practice location
2836 S 50 W
Bountiful, UT 84010-6407
Mailing address
2836 S 50 W
Bountiful, UT 84010-6407
Phone (385) 382-0820
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12803458-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redefined Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1235830415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2836 S 50 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106407",
"telephone_number": "385-382-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2836 S 50 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106407",
"telephone_number": "385-382-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "JACOB",
"middle_name": "W",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "12803458-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.