Active NPI
Jo Anne Chase, RD
- Registered Dietitian
- Clovis, CA
National Provider Identifier
1508907197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- RD619370
- Practice address
- 20 N Dewitt Ave
Clovis, CA 93612-0311 - Phone
- (559) 299-2578
- Fax
- (559) 299-0245
- NPI assigned
- Feb 8, 2007
- 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 | RD619370 | CA | Primary |
Addresses
Primary practice location
20 N Dewitt Ave
Clovis, CA 93612-0311
Mailing address
12237 Gabor Way
Madera, CA 93638-8517
Phone (559) 645-0733
Other names 1
- Jo Anne Chase
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 |
|---|---|---|---|
| RD619370 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508907197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12237 GABOR WAY",
"city": "MADERA",
"state": "CA",
"postal_code": "936388517",
"telephone_number": "559-645-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N DEWITT AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120311",
"telephone_number": "559-299-2578",
"fax_number": "559-299-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "JO",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "RD619370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "CHASE",
"middle_name": "ANNE",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.