Active NPI
Allison Denise Jeter, MS, RD, LD
- Registered Dietitian
- Ann Arbor, MI
National Provider Identifier
1285934307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2948 Renfrew St
Ann Arbor, MI 48105-1454 - Phone
- (936) 689-0904
- NPI assigned
- Oct 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80996 | TX | |
| Registered Dietitian | 133V00000X | MI | Primary |
Addresses
Primary practice location
2948 Renfrew St
Ann Arbor, MI 48105-1454
Mailing address
2948 Renfrew St
Ann Arbor, MI 48105-1454
Phone (936) 689-0904
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT80996 | TX | MD | Registered Dietitian |
| 1019 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1285934307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 RENFREW ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051454",
"telephone_number": "936-689-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2948 RENFREW ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051454",
"telephone_number": "936-689-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "ALLISON",
"middle_name": "DENISE",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-22",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80996",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.