Active NPI
Jordan Fletcher
- Registered Dietitian
- Ponte Vedra, FL
National Provider Identifier
1467299024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 274 Deer Ridge Dr
Ponte Vedra, FL 32081-0834 - Phone
- (904) 866-1924
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
274 Deer Ridge Dr
Ponte Vedra, FL 32081-0834
Mailing address
274 Deer Ridge Dr
Ponte Vedra, FL 32081-0834
Phone (904) 866-1924
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1467299024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 DEER RIDGE DR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320810834",
"telephone_number": "904-866-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 DEER RIDGE DR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320810834",
"telephone_number": "904-866-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
- Papatya C Fix, RPH
- Flagler Professional Health Care Services Inc.
- Flagler Professional Health Care Services, Inc.
- Kathryn Fleming Hanson, PSY.D.
- Kerri Michele Fleming, PT, DPT
- Florida Ocd and Anxiety Specialists, LLC
- Kaitlin Fogarty
- Arnold Douglas Fong, M.D.
- Wiley Douglas Fowler III, PA-C
- Emily Mira Fox, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.