Active NPI
Stephanie Dawn Jacobson, RDN LD
- Registered Dietitian
- Ida Grove, IA
National Provider Identifier
1306667597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01453
- Practice address
- 701 E 2ND St
Ida Grove, IA 51445-1699 - Phone
- (712) 364-7298
- NPI assigned
- Oct 21, 2024
- Sex
- Female
- 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 | 01453 | IA | Primary |
Addresses
Primary practice location
701 E 2ND St
Ida Grove, IA 51445-1699
Mailing address
5357 Highway 175
Battle Creek, IA 51006-8603
Phone (712) 369-1742
Other names 1
- Stephanie Dawn Hughes
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 |
|---|---|---|---|
| 01453 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1306667597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5357 HIGHWAY 175",
"city": "BATTLE CREEK",
"state": "IA",
"postal_code": "510068603",
"telephone_number": "712-369-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 2ND ST",
"city": "IDA GROVE",
"state": "IA",
"postal_code": "514451699",
"telephone_number": "712-364-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "STEPHANIE",
"middle_name": "DAWN",
"credential": "RDN LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "HUGHES",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ida Grove, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.