Active NPI
Jessica Louise Perry, RD/LDN
- Registered Dietitian
- Roanoke Rapids, NC
National Provider Identifier
1104053578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003321
- Practice address
- 250 Smith Church Rd
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 535-8035
- Fax
- (252) 535-8481
- NPI assigned
- Jun 12, 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 | L003321 | NC | Primary |
Addresses
Primary practice location
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Mailing address
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8035
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1104053578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-535-8035",
"fax_number": "252-535-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-535-8035",
"fax_number": "252-535-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"credential": "RD/LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.