Active NPI
Jessica Caudell
- Registered Dietitian
- West Chester, OH
National Provider Identifier
1063843878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7018
- Practice address
- 7901 Victory CT
West Chester, OH 45069-8655 - Phone
- (513) 289-8374
- NPI assigned
- Dec 4, 2013
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7018 | OH | Primary |
Addresses
Primary practice location
7901 Victory CT
West Chester, OH 45069-8655
Mailing address
3958 Brown Park Dr
Ste D
Hilliard, OH 43026-1160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7018 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1063843878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3958 BROWN PARK DR",
"address_2": "STE D",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 VICTORY CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450698655",
"telephone_number": "513-289-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDELL",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.