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JORDAN D. MIZE MS RDN NPI 1346622354


NPI Information

NPI: 1346622354
Provider Name: JORDAN D. MIZE, MS, RDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
100 MERCY WAY
STE 580
JOPLIN, MO
ZIP 64804
Phone: (417) 556-8555
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Jordan D. Mize, MS, RDN is a nutrition and metabolic dietitian registered in Joplin, MO. Jordan D. Mize, MS, RDN NPI is 1346622354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MERCY WAY
STE 580
JOPLIN, MO
ZIP 64804-524
Phone: (417) 556-8555
Fax: (417) 556-8553

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medical nutrition therapy, assessment and intervention, each 15 minutes (HCPCS:97802)
  • Medical nutrition therapy re-assessment and intervention, each 15 minutes (HCPCS:97803)

The enumeration date for this NPI number is 6/25/2015 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, Metabolic2015020189MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11346622354MEDICAIDMISSOURI
2MA2082475MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.