JACQUELINE ODETTE DTR CDM CFPP NPI 1235743006

NPI Information

  • NPI: 1235743006
  • Provider Name: JACQUELINE ODETTE, DTR, CDM, CFPP
  • Classification: Dietetic Technician, Registered - 136A00000X
  • Entity Type: Individual
  • Address: 2328 N THOMAS RD
    FAIRGROVE, MI
    ZIP 48733
  • Phone: (989) 233-2373

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NPI Details

Jacqueline Odette, DTR, CDM, CFPP is a dietetic technician registered in Fairgrove, MI. The provider is a Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care. Jacqueline Odette, DTR, CDM, CFPP NPI is 1235743006. 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:

2328 N THOMAS RD
FAIRGROVE, MI
ZIP 48733-569
Phone: (989) 233-2373

The enumeration date for this NPI number is 8/31/2020 and was last updated on 8/31/2020.

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
1136A00000XDietetic Technician, Registered86198282MICHIGANYes

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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