Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265295117 Individual Practitioner Female Practitioner

Jackie Jiaqi Wu , RD

Dietitian, Registered • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jackie Wu, RD is a registered Dietitian, Registered practitioner in Phoenix, AZ. With approximately 4 years of clinical practice since completing medical education in 2022, Jackie Wu provides healthcare services at the registered practice location at 10000 N 31ST AVE STE C105.

Jackie Wu does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

10000 N 31st Ave Ste C105

Phoenix, AZ 850519625

Telephone 6026741068
Fax 4802475461
Associated Practice Facility / Clinic
🏢 Am Nutrition Services Facility NPI 1003011602

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Phoenix, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
417 Specialists

Practicing in Phoenix, AZ (1452 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wu (4 Years) 4 Yrs
Phoenix Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License AZ 86377434

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License IL 164.009460

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Brandon Yamaguchi

Dietitian, Registered

NPI 1376433839
Kelli Garner , RD

Dietitian, Registered

NPI 1558767673

Registered Dietitian

Natasha Juhl

Dietitian, Registered

NPI 1881580801

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 17, 2025

Registered at 10000 N 31ST AVE STE C105, PHOENIX, AZ 850519625 (Tel: 6026741068)

📍
Updated Business Mailing Address December 17, 2025

Registered at 18001 N 79TH AVE STE A12, GLENDALE, AZ 853088398 (Tel: 6233996825)

👤
Provider Name / Credentials Updated December 17, 2025

Recorded as JACKIE WU, RD

NPI Profile Active February 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2024

Registered at 3218 S ARCHER AVE UNIT 401, CHICAGO, IL 606081205 (Tel: 3124591657)

📍
Updated Business Mailing Address February 02, 2024

Registered at 3218 S ARCHER AVE UNIT 401, CHICAGO, IL 606081205 (Tel: 3124591657)

👤
Provider Name / Credentials Updated February 02, 2024

Recorded as JACKIE WU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2024

Dietitian, Registered (License #164.009460 in IL)

🟢
Initial NPI Registration & Enumeration February 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265295117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2024
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

18001 N 79th Ave Ste A12

Glendale, AZ 853088398

Phone: 6233996825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.