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

Individual provider Registered Dietitian · NPI 1598818619

Mrs. Jodi A Pettersen, RD is a Registered Dietitian OR Nutrition Professional in Carson City, Nevada. Qualified in 1992, 34 years ago. Practices with Great Basin Nutrition LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
34
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

783 Basque Way
Carson City, NV 89706-7981
Phone: (775) 720-3490
Fax: (775) 888-9510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1598818619
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMay 19, 2014

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Great Basin Nutrition Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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