Active NPI
Julie Ann Jebran, RDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1093452120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007340
- Practice address
- 3925 Terrace St Unit 1
Philadelphia, PA 19128-5232 - Phone
- (610) 597-1965
- NPI assigned
- May 19, 2022
- Last updated
- May 19, 2022
- 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 | DN007340 | PA | Primary |
Addresses
Primary practice location
3925 Terrace St Unit 1
Philadelphia, PA 19128-5232
Mailing address
3925 Terrace St Unit 1
Philadelphia, PA 19128-5232
Phone (610) 597-1965
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 |
|---|---|---|---|
| DN007340 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1093452120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 TERRACE ST UNIT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285232",
"telephone_number": "610-597-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 TERRACE ST UNIT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191285232",
"telephone_number": "610-597-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEBRAN",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Jeans Radiology Associates (PA Open MRI @ Roosevelt Plaza)
- Jeans Radiology Associates (PA Diagnostic & Women's Imaging Center)
- Natasha Jeanty, LPC
- Ejona Jeblonski, P.T.
- Gregory Jeblonski, DPT
- Jeemi Inc (Davis Pharmacy Inc)
- Rachel Jeff-Macauley
- Steven Roland Jefferies, DDS
- Ann Jeffers
- Shanaye Jeffers, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.