Jaimee Jordan, MS, RDN, CDCES, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2415-29 Issued in WI

Practice address

1 Persnickety PL
Plymouth, WI 53073-3544

Phone

(920) 892-3468

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jaimee Wallo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• MH Health Care Services, PC

  • Primary Care Clinic/Center
  • Plymouth, WI
  • NPI 1356856074
  NPD

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1417226325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERSNICKETY PL",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530733544",
            "telephone_number": "920-892-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERSNICKETY PL",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530733544",
            "telephone_number": "920-892-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JAIMEE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CDCES, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1046746",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2415-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMEE",
            "last_name": "WALLO",
            "prefix": "MS.",
            "credential": "MS, RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Bradford Ingraham, M.D.
• Sarah Jabs, PA
• Nicole L Jaeckels, RN BSN
• James R. Nass D.D.S. LLC
• Kim Kristine Jones
• Joseph and Joseph Dental LLC
• Sherry Joseph
• Timothy John Joseph, DDS
• Londa Jozwowski, D.C.
• Stella D. Kaas-Lallensack, OTR

• Registered Dietitian in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.