Jacqueline Nicole Redmiles, MS, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D02271 Issued in MD

Practice address

510 Upper Chesapeake Dr Ste 510
Bel Air, MD 21014-4332

Phone

(443) 643-3210

Fax

(443) 643-3204

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Nicole Gianakos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1083817621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR STE 510",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144332",
            "telephone_number": "443-643-3210",
            "fax_number": "443-643-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR STE 510",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144332",
            "telephone_number": "443-643-3210",
            "fax_number": "443-643-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMILES",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "MS, RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D02271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GIANAKOS",
            "middle_name": "NICOLE",
            "credential": "RD LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.