Active NPI
Jennifer Lynn Petitti, R.D.
- Registered Dietitian
- Highlands Ranch, CO
National Provider Identifier
1821426040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8823 Creekside Way Apt 1822
Highlands Ranch, CO 80129-1593 - Phone
- (720) 984-3139
- NPI assigned
- Oct 25, 2013
- 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 | Primary |
Addresses
Primary practice location
8823 Creekside Way Apt 1822
Highlands Ranch, CO 80129-1593
Mailing address
8823 Creekside Way Apt 1822
Highlands Ranch, CO 80129-1593
Phone (720) 984-3139
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
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": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1821426040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 CREEKSIDE WAY APT 1822",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801291593",
"telephone_number": "720-984-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 CREEKSIDE WAY APT 1822",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801291593",
"telephone_number": "720-984-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETITTI",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-25",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.