Individual provider Active NPI

Jared Oppelt, MPH, RDN

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1548738792
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1092805 Issued in AZ
Practice address
2020 W Union Hills Dr Unit 145
Phoenix, AZ 85027-5810
Phone
(203) 747-1444
NPI assigned
Nov 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1092805 AZ
Nutrition Education Nutritionist 133NN1002X 1092805 AZ
Renal Nutrition Registered Dietitian 133VN1005X 1092805 AZ
Metabolic Nutrition Registered Dietitian 133VN1006X 1092805 AZ
Registered Dietitian 133V00000X 1092805 AZ Primary

Addresses

Primary practice location

2020 W Union Hills Dr Unit 145
Phoenix, AZ 85027-5810

Mailing address

2020 W Union Hills Dr Unit 145
Phoenix, AZ 85027-5810

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

State licenses

LicenseStateTypeSpecialty
1092805AZMDRenal Nutrition Registered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1548738792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W UNION HILLS DR UNIT 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W UNION HILLS DR UNIT 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275810",
            "telephone_number": "203-747-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPELT",
        "first_name": "JARED",
        "credential": "MPH, RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AZ",
            "license": "1092805",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AZ",
            "license": "1092805",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "AZ",
            "license": "1092805",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "AZ",
            "license": "1092805",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1092805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.