Individual provider Active NPI

Julia Whelan, RDN/LD

  • Registered Dietitian
  • Jacksonville, FL
National Provider Identifier
1336656255
Registry record updated Dec 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7600 Issued in FL
Practice address
1488 Landau Rd
Jacksonville, FL 32225-8275
Phone
(561) 310-4659
NPI assigned
Dec 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2017

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 ND7600 FL Primary

Addresses

Primary practice location

1488 Landau Rd
Jacksonville, FL 32225-8275

Mailing address

1488 Landau Rd
Jacksonville, FL 32225-8275
Phone (561) 310-4659

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
ND7600FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1336656255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 LANDAU RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258275",
            "telephone_number": "561-310-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 LANDAU RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258275",
            "telephone_number": "561-310-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "JULIA",
        "credential": "RDN/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.