JACQUELYN MAINELLI RD NPI 1083524342

NPI Information

  • NPI: 1083524342
  • Provider Name: JACQUELYN MAINELLI, RD
  • Classification: Dietitian, Registered - 133VN1501X
  • Specialization: Nutrition, Sports Dietetics
  • Entity Type: Individual
  • Address: 3805 N 53RD AVE
    PHOENIX, AZ
    ZIP 85031
  • Phone: (623) 245-5500

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NPI Details

Jacquelyn Mainelli, RD is a nutrition and sports dietetics dietitian registered in Phoenix, AZ. The provider is an individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance. Jacquelyn Mainelli, RD NPI is 1083524342. 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:

3805 N 53RD AVE
PHOENIX, AZ
ZIP 85031-046
Phone: (623) 245-5500

The enumeration date for this NPI number is 9/9/2026 and was last updated on 9/9/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1501XDietitian, RegisteredNutrition, Sports DieteticsYes

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: 11/21/2025

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