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

Jessica Wotruba, RD

Individual provider Registered Dietitian · NPI 1861164048

Jessica Wotruba, RD is a Registered Dietitian OR Nutrition Professional in Glendale, Arizona. Qualified in 2021, 5 years ago. Practices with Am Nutrition Services, a 48-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
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

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398
Phone: (623) 399-6825
Fax: (623) 505-3474
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86147185 (AZ)

Record details

NPI number1861164048
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Am Nutrition Services — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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