Jillian Mozitis, RD

Key facts

NPI

1104280130

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

DN005574 (PA)

Practice address

111 Robbins Ave
Rockledge, PA 19046-4252

Phone

(267) 303-8241

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jessica Dean Nutrition, LLC Registered Dietitian · Madison, CT · NPI 1659900405
  NPD (past) DIETITIAN, REGISTERED
• Liz Brown Nutrition LLC Registered Dietitian · Austin, TX · NPI 1427682004
  NPD (past) DIETITIAN, REGISTERED

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1104280130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROBBINS AVE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464252",
            "telephone_number": "267-526-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROBBINS AVE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464252",
            "telephone_number": "267-303-8241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Harry St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Conshohocken",
            "state": "PA",
            "postal_code": "194282171",
            "country_code": "US",
            "telephone_number": "267-526-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Mopac Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466809",
            "country_code": "US",
            "telephone_number": "512-766-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZITIS",
        "first_name": "JILLIAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Rockledge, PA · Registered Dietitian in Pennsylvania