Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Jiaqi Wu, RD

Individual provider Registered Dietitian · NPI 1265295117

Jackie Jiaqi Wu, RD is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Am Nutrition Services, a 48-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
4
Licensed in
AZ, IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

10000 N 31st Ave Ste C105
Phoenix, AZ 85051-9625
Phone: (602) 674-1068
Fax: (480) 247-5461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86377434 (AZ)
Registered Dietitian Taxonomy 133V00000X · Licence 164.009460 (IL)

Record details

NPI number1265295117
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Am Nutrition Services — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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