Active NPI
Joni K. Anderson, MNT
- Registered Dietitian
- Council Bluffs, IA
National Provider Identifier
1821535550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01034
- Practice address
- 933 E Pierce St
Council Bluffs, IA 51503-4626 - Phone
- (712) 396-6828
- Fax
- (712) 396-4275
- NPI assigned
- Jan 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01034 | IA | Primary |
| Registered Dietitian | 133V00000X | 335 | NE |
Addresses
Primary practice location
933 E Pierce St
Council Bluffs, IA 51503-4626
Mailing address
PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803260 | Other | IA | COMMISSION ON DIETETIC REGISTRATION CERTIFICATION |
| 335 | Other | NE | MEDICAL NUTRITION THERAPIST LICENSE |
| 01034 | Other | IA | IOWA DIETETIC LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034 | IA | MD | Registered Dietitian |
| 335 | NE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1821535550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2797",
"city": "OMAHA",
"state": "NE",
"postal_code": "681032797",
"telephone_number": "402-354-4230",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 E PIERCE ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034626",
"telephone_number": "712-396-6828",
"fax_number": "712-396-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JONI",
"middle_name": "K.",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01034",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "335",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION CERTIFICATION",
"identifier": "803260",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL NUTRITION THERAPIST LICENSE",
"identifier": "335",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA DIETETIC LICENSE",
"identifier": "01034",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
- Ameriserve International, Inc
- Charlene F Ancheta, PHARM.D
- Carolyn Ann Andersen Burgher, MS LMHC LMHP LIMHP
- Andrea J Anderson
- Earl Todd Anderson, LMHC
- Julia Middendorf Anderson, SLP
- Kahla Noelle Anderson, DNP, FNP, ARNP
- Olive Anderson
- Robert Scott Andrews, MS LMHC NCC
- Any Time Transportation Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.