Provider Demographics
NPI:1295214799
Name:JAMESON, ALINA (MS, RDN, CSSD)
Entity Type:Individual
Prefix:MS
First Name:ALINA
Middle Name:
Last Name:JAMESON
Suffix:
Gender:F
Credentials:MS, RDN, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S 1850 E # HPERN214
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84112-0920
Mailing Address - Country:US
Mailing Address - Phone:801-631-4787
Mailing Address - Fax:
Practice Address - Street 1:295 S CHIPETA WAY # 248
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84108-1287
Practice Address - Country:US
Practice Address - Phone:801-213-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty