Active NPI
Stephanie Nelson Jones, MS,RD,CSSD
- Registered Dietitian
- Tucson, AZ
National Provider Identifier
1992969471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 706623
- Practice address
- 333 N Wilmot Rd
Tucson, AZ 85711 - Phone
- (520) 618-5383
- Fax
- (520) 918-3031
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 2006010863 | MO | |
| Registered Dietitian | 133V00000X | 706623 | Primary | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 706623 |
Addresses
Primary practice location
333 N Wilmot Rd
Tucson, AZ 85711
Mailing address
333 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 618-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3564 | MN | MD | Chiropractor |
| 2006010863 | MO | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230
Interoperability endpoints
- stephanie.jones@hca2.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1912315144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1992969471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-618-5383",
"fax_number": "520-918-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-618-5383",
"fax_number": "520-918-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STEPHANIE",
"middle_name": "NELSON",
"name_prefix": "Mrs.",
"credential": "MS,RD,CSSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MO",
"license": "2006010863",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "706623",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": "706623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.