Individual provider Active NPI

Jamie L Moraski, RD,LDN

  • Registered Dietitian
  • Erie, PA
National Provider Identifier
1023249224
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003809 Issued in PA
Practice address
3822 Colonial Ave
Erie, PA 16506-3826
Phone
(814) 835-2626
Fax
(814) 835-2646
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003809 PA Primary

Addresses

Primary practice location

3822 Colonial Ave
Erie, PA 16506-3826

Mailing address

3822 Colonial Ave
Erie, PA 16506-3826
Phone (814) 835-2626

Other names 1

  • Miss Jamie L Beeman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoraski151503@direct.ahn.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN003809PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1023249224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-835-2626",
            "fax_number": "814-835-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-835-2626",
            "fax_number": "814-835-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORASKI",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoraski151503@direct.ahn.org",
            "affiliation": "N",
            "address_1": "3822 Colonial Ave",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165063826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BEEMAN",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "RD,LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.