Jan Leslie Speer, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

504029 Issued in CA

Practice address

1124 1St St
Los Osos, CA 93402-1102

Phone

(916) 202-5609

NPI assigned

Jul 26, 2014

Last updated

Jul 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Support Solutions

  dba Nutrition Solutions

  • Home Delivered Meals
  • Oakland, CA
  • NPI 1831596220
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1831507516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 1ST ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021102",
            "telephone_number": "916-202-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 1ST ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021102",
            "telephone_number": "916-202-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "JAN",
        "middle_name": "LESLIE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "504029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Bello Sears, M.S.
• Leslie Michele Simone, L.M.F.T.
• Slo Medicine Inc
• Ashley Janine Smith, LMFT
• Caroline Smith
• Maxine Ellen Stein, MFT
• Thomas A Stein, MFT
• Susan Sharaga Swadener, PHD, RD
• Cassandra D Tagge
• Ihor Taratusky, BS PHARM

• Registered Dietitian in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.