Active NPI
Jessica Michelle Haskin, RD, CDN
- Nutritionist
- New York, NY
National Provider Identifier
1013562925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 009470
- Practice address
- 520 E 70TH St
New York, NY 10021-9800 - Phone
- (212) 746-0838
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 009470 | NY | Primary |
Addresses
Primary practice location
520 E 70TH St
New York, NY 10021-9800
Mailing address
520 E 70TH St
New York, NY 10021-9800
Other practice location 1
5 E 22nd St Apt 25H
New York, NY 10010-5330
Phone (212) 305-8928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Networks
- TX HMO
- TX HMO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1013562925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100219800",
"telephone_number": "212-746-0838"
}
],
"practiceLocations": [
{
"address_1": "5 E 22nd St Apt 25H",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100105330",
"country_code": "US",
"telephone_number": "212-305-8928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASKIN",
"first_name": "JESSICA",
"middle_name": "MICHELLE",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2024-06-20",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "009470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.