Active NPI
Jennifer Nader, RDN
- Registered Dietitian
- Pacific Grove, CA
National Provider Identifier
1801651088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1106988
- Practice address
- 165 Pacific Ave
Pacific Grove, CA 93950-2542 - Phone
- (917) 890-7501
- NPI assigned
- Feb 16, 2024
- 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 | 1106988 | CA | Primary |
Addresses
Primary practice location
165 Pacific Ave
Pacific Grove, CA 93950-2542
Mailing address
548 Market St
PMB 745461
San Francisco, CA 94104-5401
Phone (917) 890-7501
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 |
|---|---|---|---|
| 1106988 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1801651088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 MARKET ST",
"address_2": "PMB 745461",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045401",
"telephone_number": "917-890-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 PACIFIC AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502542",
"telephone_number": "917-890-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADER",
"first_name": "JENNIFER",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1106988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.