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

Jessica Divis, RD

Individual provider Registered Dietitian · NPI 1386222396

Jessica Divis, RD is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Am Nutrition Services, a 48-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1920 E Cambridge Ave Ste 201
Phoenix, AZ 85006-1462
Phone: (602) 933-0935
Fax: (602) 933-2471
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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 86094146 (AZ)

Record details

NPI number1386222396
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Am Nutrition Services — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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