JORDAN CAMILLE DANSEREAU RDN, IBCLC
NPI 1992428809
Dietitian, Registered in Hayden, ID

Q: What is Jordan Dansereau's NPI number?

The NPI number for Jordan Dansereau is 1992428809. It was assigned to this individual provider in the NPPES registry on September 26, 2022. The provider is also known as Jordan Camille Pratt Rdn.

Q: What is Jordan Dansereau'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 Dansereau was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 September 26, 2022

8500 N ATLAS RD, HAYDEN, ID 83835(208) 415-5284 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Jun 17, 2025, May 16, 2025 and 1 more (4 updates tracked since 2022).

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About Jordan Camille Dansereau Rdn, Ibclc NPPES

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

JORDAN CAMILLE DANSEREAU RDN, IBCLC (NPI 1992428809) is an individual dietitian, registered in Hayden, Idaho, licensed in (86210366) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1992428809

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJORDAN CAMILLE DANSEREAUCredential: RDN, IBCLC

Location Address8500 N ATLAS RDHayden, ID 83835-8332

Mailing Address8500 N Atlas RdHayden, ID 83835-8332 · (208) 415-5284 · Fax (208) 415-5131

Phone(208) 415-5284

Sole ProprietorYes

Enumeration DateSeptember 26, 2022

Last NPPES UpdateJune 24, 20254 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1992428809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed · 86210366

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.

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-316372

8500 N ATLAS RD, Hayden, ID 83835

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Other Names 1

Former Name (1)Jordan Camille Pratt Rdn

Other Providers at the Same Location NPPES 12

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

CINDY BARNES NP

Nurse Practitioner (Family)