Organization Active NPI

Nutrition That Heals

  • Registered Dietitian
  • Lancaster, PA
National Provider Identifier
1013630177
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION THAT HEALS
Practice address
554 W King St Ste 109
Lancaster, PA 17603-3661
Phone
(717) 208-2368
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Cannon, MS, RDN, LDNNPI 1871224840
Title
Owner and Registered Dietitian Nutr
Phone
(717) 208-2368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

554 W King St Ste 109
Lancaster, PA 17603-3661

Mailing address

618 1St St
Lancaster, PA 17603-3622

Other identifiers 1

IdentifierTypeStateIssuer
187122840MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1013630177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 1ST ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 W KING ST STE 109",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033661",
            "telephone_number": "717-208-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THAT HEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER AND REGISTERED DIETITIAN NUTR",
        "authorized_official_telephone_number": "717-208-2368",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187122840",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.