Active NPI
Jennifer A. Maki, RD, LD
- Registered Dietitian
- Anoka, MN
National Provider Identifier
1306211552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2222
- Practice address
- 1302 Oakview Way
Anoka, MN 55303-1318 - Phone
- (763) 639-1446
- NPI assigned
- Dec 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2222 | MN | Primary |
Addresses
Primary practice location
1302 Oakview Way
Anoka, MN 55303-1318
Mailing address
1302 Oakview Way
Anoka, MN 55303-1318
Phone (763) 639-1446
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 |
|---|---|---|---|
| 2222 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1346839859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449964800000",
"number": "1306211552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 OAKVIEW WAY",
"city": "ANOKA",
"state": "MN",
"postal_code": "553031318",
"telephone_number": "763-639-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 OAKVIEW WAY",
"city": "ANOKA",
"state": "MN",
"postal_code": "553031318",
"telephone_number": "763-639-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKI",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-13",
"last_updated": "2015-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.