Individual provider Active NPI

Jennifer Porter, MDA, RDN, CD, IBCLC

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1508740085
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86083279 Issued in UT
Practice address
1581 E Waterbury Dr Unit G
Salt Lake City, UT 84121-1134
Phone
(208) 286-5415
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 86083279 UT Primary

Addresses

Primary practice location

1581 E Waterbury Dr Unit G
Salt Lake City, UT 84121-1134

Mailing address

1581 E Waterbury Dr Unit G
Salt Lake City, UT 84121-1134
Phone (208) 286-5415

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
Medical Assistant

State licenses

LicenseStateTypeSpecialty
86083279UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
No Diet Dietitian, LLC 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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1508740085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 E WATERBURY DR UNIT G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211134",
            "telephone_number": "208-286-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 E WATERBURY DR UNIT G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211134",
            "telephone_number": "208-286-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JENNIFER",
        "credential": "MDA, RDN, CD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "86083279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.