Address: 4514 Fairway Ave, Origin Functional Nutrition, Dallas, TX 75219-7521

JESSICA ALDREDGE (NPI# 1689258709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689258709
Entity Type Individual
Gender Female
Credential FNTP
Practice Address 4514 Fairway Ave
Origin Functional Nutrition
TX 75219-7521
Practice Telephone 5129631131
Mailing Address 4514 Fairway Ave
Origin Functional Nutrition
TX 75219-4354
Mailing Telephone 5129631131
Certification Date 2021-04-08
Enumeration Date 2021-05-06
Last Update Date 2021-05-06
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 133N00000X Nutritionist Dietary & Nutritional Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Other URL (website) 4514 Fairway Ave, Origin Functional Nutrition, Dallas, TX 75219 Direct Other NA

Office Location

Street Address 4514 FAIRWAY AVE
State TX
Zip Code 75219-7521

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Taxonomy Information

Taxonomy Code 133N00000X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist

Taxonomy Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538783386 Ginger Schirmer Nutritionist 3232 Westminster Ave, Dallas, TX 75205-1427 2020-06-07
1518418953 James Judd Nutritionist 9317 Frenchmans Way, Dallas, TX 75220-5039 2016-10-20
1124576509 Redeeming Wellness LLC Nutritionist 5002 Horseshoe Trl, Dallas, TX 75209-3324 2016-09-14
1790159291 Aleah Walker Nutritionist 168 N Johnston St Ste 100, Dallas, GA 30132-4740 2015-11-20
1063719011 Betty Ann Murray Nutritionist 17000 Preston Rd Ste 400, Dallas, TX 75248-1201 2011-02-26
1235394271 Glory E Rodriguez Nutritionist 8330 Lyndon B Johnson Fwy Ste B650, Dallas, TX 75243-1166 2008-07-18
1811108772 Marie Antoinette Patti Nutritionist 1100 Commerce Street, Usda, Southwest Regional Office, Dallas, TX 75242-0000 2007-05-24
1538749783 Leslie P Bumpas Nutritionist 5002 Horseshoe Trl, Dallas, TX 75209-3324 2021-04-12
1922623552 Kamin Consulting, Inc. Nutritionist 2121 N Pearl St Ste 300, Dallas, TX 75201-2494 2020-06-09
1194373860 Darya Koropenko Nutritionist 3333 Lee Pkwy Ste 600, Dallas, TX 75219-5117 2019-08-27
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.