Jonathan Andrew Oldham, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86000710

Practice address

G3317 Beecher Rd
Flint, MI 48532-3615

Phone

(269) 325-4115

NPI assigned

Jan 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jon Andrew Oldham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1871916775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3317 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "269-325-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3317 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "269-325-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "OLDHAM",
            "middle_name": "ANDREW",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ekwevugbe Ochuko Ogbon, MD
• Brendan Ogle
• Owolabi Ogunneye, M.D.FRCP(UK)
• Dong Whan Oh, MD
• Dong Wha Ohm, M.D.
• Harvey Allen Olds, M.D.
• Hannah Olgren Swabash, RN, FNP-BC
• Samantha Marie Oliver, LLMSW, QIDP
• Jacqueline Lucille Olivo
• Rebecca Carolyn Olsen, DO

• Registered Dietitian in Flint, MI
• Providers in Flint, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.