JACKIE JIAQI WU RD
NPI 1265295117
Dietitian, Registered in Phoenix, AZ

Active since February 02, 2024
10000 N 31ST AVE STE C105, PHOENIX, AZ 85051(602) 674-1068(480) 247-5461 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About JACKIE WU

This page provides the complete NPI Profile along with additional information for Jackie Wu, a provider established in Phoenix, Arizona with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1265295117 assigned on February 2024. The practitioner's primary taxonomy code is 133V00000X with license number 86377434 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1265295117 Verify this NPI
Provider Name
JACKIE JIAQI WU RD
Gender
Female
Entity Type
Individual
Location Address
10000 N 31ST AVE STE C105 PHOENIX, AZ 85051
Location Phone
(602) 674-1068
Location Fax
(480) 247-5461
Mailing Address
18001 N 79TH AVE STE A12 GLENDALE, AZ 85308
Mailing Phone
(623) 399-6825
Mailing Fax
(623) 505-3474
Is Sole Proprietor?
No
Enumeration Date
02-02-2024
Last Update Date
12-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
86377434
License State
AZ
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

164.009460 (IL)

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051
Dietitian, Registered
10000 N 31ST AVE STE C105
PHOENIX, AZ 85051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265295117, enumerated as an "individual" on February 02, 2024.

The provider is located at 10000 N 31ST AVE STE C105 PHOENIX, AZ 85051 and the phone number is (602) 674-1068.

Dietitian, Registered with taxonomy code 133V00000X.