Individual provider Active NPI

Jessica M Jantz, R.D.

  • Registered Dietitian
  • Kansas City, MO
National Provider Identifier
1427322015
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
998352 Issued in CA
Practice address
800 E 101St Ter
Ste 350
Kansas City, MO 64131-5310
Phone
(816) 226-6605
Fax
(816) 877-9137
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 998352 CA Primary

Addresses

Primary practice location

800 E 101St Ter
Ste 350
Kansas City, MO 64131-5310

Mailing address

1208 NW 112TH Ter
Kansas City, MO 64155-3686
Phone (816) 226-6605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019002054 PA Practitioner - Registered Dietitian Or Nutrition Professional 4183012412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
998352CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sustained Roots Dietitian, Registered CurrentSince Feb 27, 2022 Accepting new patients
Adrian Chiu, PH.D., PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1427322015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NW 112TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553686",
            "telephone_number": "816-226-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 101ST TER",
            "address_2": "STE 350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641315310",
            "telephone_number": "816-226-6605",
            "fax_number": "816-877-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "998352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.