Active NPI
Jaclyn Schneider, RD
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1467069187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86099415
- Practice address
- 313 E Palmetto Park Rd Apt 412
Boca Raton, FL 33432-5159 - Phone
- (561) 213-7277
- Fax
- (561) 431-8201
- NPI assigned
- Sep 27, 2020
- 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 | 86099415 | NY | Primary |
Addresses
Primary practice location
313 E Palmetto Park Rd Apt 412
Boca Raton, FL 33432-5159
Mailing address
313 E Palmetto Park Rd Apt 412
Boca Raton, FL 33432-5159
Phone (561) 213-7277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.wellupnutrition.com | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86099415 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1467069187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 E PALMETTO PARK RD APT 412",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325159",
"telephone_number": "561-213-7277",
"fax_number": "561-431-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E PALMETTO PARK RD APT 412",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325159",
"telephone_number": "561-213-7277",
"fax_number": "561-431-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "JACLYN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-27",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86099415",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.wellupnutrition.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website and Location",
"address_1": "1065 2nd Ave Apt 23A",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100223439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.