Individual provider Active NPI

Julie Fernandez, MS, RD

  • Registered Dietitian
  • Lehi, UT
National Provider Identifier
1932808763
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10595383-4901 Issued in UT
Practice address
2250 N Miller Campus Dr
Lehi, UT 84043-7233
Phone
(801) 662-5325
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10595383-4901 UT Primary

Addresses

Primary practice location

2250 N Miller Campus Dr
Lehi, UT 84043-7233

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice location 1

1718 Mountain View Dr
Spanish Fork, UT 84660-2791
Phone (801) 669-6403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424002867 ID Practitioner - Registered Dietitian Or Nutrition Professional 7618332792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10595383-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Medical Care LLC Dietitian, Registered CurrentSince May 22, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

3155 Channing Way
Ste A
Idaho Falls, ID 83404
Phone (208) 227-0551

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 617-6455

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

Organizations & group practices 2

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1932808763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N MILLER CAMPUS DR",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437233",
            "telephone_number": "801-662-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846602791",
            "country_code": "US",
            "telephone_number": "801-669-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JULIE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "10595383-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.