Active NPI
Jordan Scott Scarlett, RDN, LDN
- Registered Dietitian
- Sedgwick, KS
National Provider Identifier
1710778998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2775
- Practice address
- 1000 Douglas Dr
Sedgwick, KS 67135-9312 - Phone
- (316) 633-2174
- NPI assigned
- May 15, 2025
- Sex
- Male
- 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 | 2775 | KS | Primary |
Addresses
Primary practice location
1000 Douglas Dr
Sedgwick, KS 67135-9312
Mailing address
1000 Douglas Dr
Sedgwick, KS 67135-9312
Phone (316) 633-2174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527000404 | KS | Practitioner - Registered Dietitian Or Nutrition Professional | 5799255147 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
2435 Polk St
San Francisco, CA 94109-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2775 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1710778998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 DOUGLAS DR",
"city": "SEDGWICK",
"state": "KS",
"postal_code": "671359312",
"telephone_number": "316-633-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DOUGLAS DR",
"city": "SEDGWICK",
"state": "KS",
"postal_code": "671359312",
"telephone_number": "316-633-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARLETT",
"first_name": "JORDAN",
"middle_name": "SCOTT",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedgwick, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.