Active NPI
Ryan Juel, MS, RDN, ACSM-CPT
- Registered Dietitian
- Houston, PA
National Provider Identifier
1487207858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 204 W Grant St
Houston, PA 15342-1427 - Phone
- (208) 275-9699
- NPI assigned
- Jul 24, 2019
- Last updated
- Jul 24, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
204 W Grant St
Houston, PA 15342-1427
Mailing address
204 W Grant St
Houston, PA 15342-1427
Phone (208) 275-9699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86105112 | Other | COMMISSION ON DIETETIC REGISTRATION |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1487207858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W GRANT ST",
"city": "HOUSTON",
"state": "PA",
"postal_code": "153421427",
"telephone_number": "208-275-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W GRANT ST",
"city": "HOUSTON",
"state": "PA",
"postal_code": "153421427",
"telephone_number": "208-275-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUEL",
"first_name": "RYAN",
"credential": "MS, RDN, ACSM-CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86105112",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.