Active NPI
Jillian Mozitis, RD
- Registered Dietitian
- Rockledge, PA
National Provider Identifier
1104280130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005574
- Practice address
- 111 Robbins Ave
Rockledge, PA 19046-4252 - Phone
- (267) 303-8241
- NPI assigned
- Apr 6, 2016
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | TX | ||
| Registered Dietitian | 133V00000X | DN005574 | PA | Primary |
Addresses
Primary practice location
111 Robbins Ave
Rockledge, PA 19046-4252
Mailing address
111 Robbins Ave
Rockledge, PA 19046-4252
Phone (267) 526-0020
Other practice location 1
119 Harry St Apt 1
Conshohocken, PA 19428-2171
Phone (267) 526-0020
Other practice location 2
1010 Mopac Cir Ste 201
Austin, TX 78746-6809
Phone (512) 766-7997
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 |
|---|---|---|---|
| DN005574 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liz Brown Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
| Jessica Dean Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
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, 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": "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": []
}Other providers in Rockledge, PA
- Medicine Man Inc (Medicine Shoppe)
- Allison Elizabeth Menard
- Olga Anna Midzak, MPT
- David M Miller, P.T.
- Wessley Monollese, DO
- Christopher Joseph Mullen IV, PT, DPT
- Michael A Musho, M.D.
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
- Weston Newbrough, DPT
- Novacare Outpatient Rehabilitation East Inc (NovaCare Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.