Active NPI
Firouzeh Jazayeri, RD
- Registered Dietitian
- Gainesville, FL
National Provider Identifier
1437876091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 11488
- Practice address
- 2409 SW Archer Rd
Gainesville, FL 32608-1305 - Phone
- (352) 265-6890
- Fax
- (352) 265-6891
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 11488 | FL | Primary |
Addresses
Primary practice location
2409 SW Archer Rd
Gainesville, FL 32608-1305
Mailing address
2800 NW 136TH Ter
Gainesville, FL 32606-4753
Phone (647) 893-3618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11488 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fjaz0001@shands.ufl.edu | Direct |
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 |
|---|---|---|---|
| 11488 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1437876091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 NW 136TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064753",
"telephone_number": "647-893-3618",
"fax_number": "352-265-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081305",
"telephone_number": "352-265-6890",
"fax_number": "352-265-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAZAYERI",
"first_name": "FIROUZEH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "11488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11488",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fjaz0001@shands.ufl.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2800 NW, 136 terrace",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "32606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.