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

Jackson Riedeman

Individual provider Registered Dietitian · NPI 1275321200

Jackson Riedeman is a Registered Dietitian in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

9822 N 1st St
Phoenix, AZ 85020-1002
Phone: (320) 309-7399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9822 N 1st St, Phoenix, AZ 85020-1002

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (AZ)

Record details

NPI number1275321200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address9822 N 1st St, Phoenix, AZ 85020-1002

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