Active NPI
Jillian Rae Hoedt, R.D
- Registered Dietitian
- Walnut Creek, CA
National Provider Identifier
1770829889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1030988
- Practice address
- 1315 Alma Ave Apt 144
Walnut Creek, CA 94596-5074 - Phone
- (925) 212-5981
- NPI assigned
- Dec 17, 2012
- 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 | 1030988 | CA | Primary |
Addresses
Primary practice location
1315 Alma Ave Apt 144
Walnut Creek, CA 94596-5074
Mailing address
1315 Alma Ave Apt 144
Walnut Creek, CA 94596-5074
Phone (925) 212-5981
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 |
|---|---|---|---|
| 1030988 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1770829889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 ALMA AVE APT 144",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965074",
"telephone_number": "925-212-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ALMA AVE APT 144",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965074",
"telephone_number": "925-212-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEDT",
"first_name": "JILLIAN",
"middle_name": "RAE",
"credential": "R.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1030988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.