Active NPI
Jason Stevenson, MS, RDN, LDN
- Registered Dietitian
- Miami, FL
National Provider Identifier
1831587997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND4086
- Practice address
- 1400 NW 12TH Avenue
Miami, FL 33136 - Phone
- (954) 594-3849
- NPI assigned
- Dec 24, 2014
- Sex
- Male
- 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 | ND4086 | FL | Primary |
Addresses
Primary practice location
1400 NW 12TH Avenue
Miami, FL 33136
Mailing address
1400 NW 12TH Avenue
Miami, FL 33136
Phone (954) 594-3849
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND4086 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1831587997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33136",
"telephone_number": "954-594-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33136",
"telephone_number": "954-594-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JASON",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-24",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND4086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.