Active NPI
Jacie Bailey, RD, CDN
- Registered Dietitian
- Ogden, UT
National Provider Identifier
1710344221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6046054-4901
- Practice address
- 5716 Maplewood Dr
Ogden, UT 84405-4825 - Phone
- (801) 648-5337
- Fax
- (801) 395-1963
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 6046054-4901 | UT | Primary |
Addresses
Primary practice location
5716 Maplewood Dr
Ogden, UT 84405-4825
Mailing address
5716 Maplewood Dr
Ogden, UT 84405-4825
Phone (801) 648-5337
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6046054-4901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1710344221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 MAPLEWOOD DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054825",
"telephone_number": "801-648-5337",
"fax_number": "801-395-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 MAPLEWOOD DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054825",
"telephone_number": "801-648-5337",
"fax_number": "801-395-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JACIE",
"name_prefix": "Mrs.",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "6046054-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.