JORDAN A LICHTHARDT
NPI 1619449766
Dietitian, Registered in Los Alamos, NM

Q: What is Jordan Lichthardt's NPI number?

The NPI number for Jordan Lichthardt is 1619449766. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Q: What is Jordan Lichthardt's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Lichthardt was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 28, 2018

3917 WEST RD STE A, LOS ALAMOS, NM 87544(505) 661-8900(505) 661-8916 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan A Lichthardt NPPES

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

JORDAN A LICHTHARDT (NPI 1619449766) is an individual dietitian, registered in Los Alamos, New Mexico, licensed in New Mexico (LD-1195) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1619449766

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJORDAN A LICHTHARDT

Location Address3917 WEST RD STE ALos Alamos, NM 87544-2292

Mailing Address3917 West Rd Ste ALos Alamos, NM 87544-2292 · (505) 661-8900 · Fax (505) 661-8916

Phone(505) 661-8900

Fax(505) 661-8916

Sole ProprietorNo

Enumeration DateDecember 28, 2018

✔ NPI 1619449766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NM · LD-1195

Definition

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.

3917 WEST RD STE A, Los Alamos, NM 87544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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