Jessica Esochaghi Enekwogu, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

86015246 Issued in MD

Practice address

6160 Springford Dr Apt D4
Harrisburg, PA 17111-6994

Phone

(909) 480-5413

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1073141214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SPRINGFORD DR APT D4",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116994",
            "telephone_number": "909-480-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SPRINGFORD DR APT D4",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116994",
            "telephone_number": "909-480-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESOCHAGHI ENEKWOGU",
        "first_name": "JESSICA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MD",
            "license": "86015246",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MD",
            "license": "86015246",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MD",
            "license": "86015246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altynai Ermenbaeva, M.D.
• Brett B Ernst, MD
• Christina Ann Errickson, MS, CCC/SLP
• Noah James Esbenshade
• Medina Esenbekova, MD
• Matthew John Espenshade, D.O.
• Kalie Esper, RD
• Jose Enrique Espinar, BA
• Alyssa Esposito, BSL
• Daniel Esslinger, M.D.

• Renal Nutrition Registered Dietitian in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Renal Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.