Active NPI
Janis E Jacobi, RD
- Registered Dietitian
- Bay St. Louis, MS
National Provider Identifier
1093044802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1311
- Practice address
- 149 Drinkwater Blvd.
Bay St. Louis, MS 39521-2790 - Phone
- (228) 467-8730
- NPI assigned
- Dec 8, 2009
- 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 | D1311 | MS | Primary |
Addresses
Primary practice location
149 Drinkwater Blvd.
Bay St. Louis, MS 39521-2790
Mailing address
1014 Breeden PL
Bay St Louis, MS 39520-4018
Phone (228) 466-4308
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1311 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1093044802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 BREEDEN PL",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395204018",
"telephone_number": "228-466-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DRINKWATER BLVD.",
"city": "BAY ST. LOUIS",
"state": "MS",
"postal_code": "395212790",
"telephone_number": "228-467-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBI",
"first_name": "JANIS",
"middle_name": "E",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay St. Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.