Individual provider Active NPI

Andrea Talbot, RD

  • Registered Dietitian
  • South Jordan, UT
National Provider Identifier
1437322146
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5697855-4901 Issued in UT
Practice address
11576 Roselawn Way
South Jordan, UT 84095-8781
Phone
(801) 502-8204
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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 5697855-4901 UT Primary

Addresses

Primary practice location

11576 Roselawn Way
South Jordan, UT 84095-8781

Mailing address

11576 Roselawn Way
South Jordan, UT 84095-8781
Phone (801) 502-8204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000258 UT Practitioner - Registered Dietitian Or Nutrition Professional 5193988186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bariatric Medicine InstituteGroup PAC ID 6002093853, 2 clinicians

Practice addresses (Care Compare)

1046 E 100
Salt Lake City, UT 84102-1520
Phone (801) 746-2885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bariatric Medicine Institute CurrentSince Mar 29, 2012 Accepting new patients
Daniel R Cottam MD PC PastSince Feb 1, 2023 Accepting new patients

Locations

1046 E 1st S
Salt Lake Cty, UT 84102
Phone (801) 746-2885

Organizations & group practices 2

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1437322146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 ROSELAWN WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958781",
            "telephone_number": "801-502-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 ROSELAWN WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958781",
            "telephone_number": "801-502-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "ANDREA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5697855-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.