Jessica L Hoffman, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004998 Issued in PA

Practice address

4053 Church Hill Road
Lebanon, PA 17046

Phone

(717) 926-9105

NPI assigned

Dec 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1053656033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 HILL CHURCH RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170469329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 CHURCH HILL ROAD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17046",
            "telephone_number": "717-926-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN004998",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102786177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duc Kim Hoang, M.D.
• Harry K Hobbs, PT
• Beth Hockenbrock, CRNP
• Christopher D. Hoffman, LCSW
• Gayle K Hoffman, RD
• Ricky Lynn Hoffman, PA-C
• John Bonaventure Hofmeister, COMS
• Russell William Hogg, MED,CAC,LPC,CCDP
• Bridget Holbert, AUDIOLOGIST AUD.
• Stacy Holdren, BA

• Registered Dietitian in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.