Jacquelin Abarca, RD
Individual provider Active NPI Registered Dietitian · Tucson, AZ
NPI 1982344495 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1982344495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1071576 (AZ)
- Practice address
- 1500 N Wilmot Rd Ste B250
Tucson, AZ 85712-4416 - Phone
- (520) 420-2212
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821005155 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 7719426717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071576 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current |
Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
1500 N Wilmot Rd
Ste B250
Tucson, AZ 85712
Phone (520) 324-7840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1071576 | AZ | Yes |
Addresses
Primary practice location
1500 N Wilmot Rd Ste B250
Tucson, AZ 85712-4416
Mailing address
5301 E Grant Rd
Tucson, AZ 85712-2805
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All providers in Tucson, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.