MARY-ANGELA JORDAN DTR
NPI 1023884525
Dietetic Technician, Registered in Peoria, AZ

Active since November 27, 2023
12112 W TETHER TRL, PEORIA, AZ 85383(480) 267-8767 Get Directions Write a Review

NPPES record last updated: December 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary-angela Jordan Dtr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY-ANGELA JORDAN DTR (NPI 1023884525) is an individual dietetic technician, registered in Peoria, Arizona and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1023884525
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameMARY-ANGELA JORDANCredential: DTR
Location Address12112 W TETHER TRLPeoria, AZ 85383-5872
Mailing Address12112 W Tether TrlPeoria, AZ 85383-5872 · (480) 267-8767
Sole ProprietorYes
Enumeration DateNovember 27, 2023
Last NPPES UpdateDecember 3, 2023
NPPES CertifiedDecember 3, 2023
NPI 1023884525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
Definition
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.
12112 W TETHER TRL, Peoria, AZ 85383

Other Names 1

Professional Name (2)Angela Jordan Dtr

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary-angela Jordan's NPI number?

The NPI number for Mary-angela Jordan is 1023884525. It was assigned to this individual provider in the NPPES registry on November 27, 2023. The provider is also known as Angela Jordan Dtr.

Where is Mary-angela Jordan located?

Mary-angela Jordan practices at 12112 W Tether Trl, Peoria, AZ 85383. The listed phone number is (480) 267-8767.

What is Mary-angela Jordan's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Mary-angela Jordan was last updated on December 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.