1447875893 NPI number — JADEN NICHOLE HOWARD MS, RDN, LD

Table of content: JADEN NICHOLE HOWARD MS, RDN, LD (NPI 1447875893)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447875893 NPI number — JADEN NICHOLE HOWARD MS, RDN, LD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWARD
Provider First Name:
JADEN
Provider Middle Name:
NICHOLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, LD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TABAT
Provider Other First Name:
JADEN
Provider Other Middle Name:
NIKKI
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, RDN, LD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1447875893
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 SHADOW CREEK DR UNIT 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38655-6227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-607-6807
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 1226
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRHOPE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36533-1226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-218-8862
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  86112685 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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