Jessica Weissman, PHD, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5985 Issued in FL

Practice address

3571 Joslin Way
West Melbourne, FL 32904-6400

Phone

(954) 483-9070

NPI assigned

Jun 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1104346840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 JOSLIN WAY",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329046400",
            "telephone_number": "954-483-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 JOSLIN WAY",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329046400",
            "telephone_number": "954-483-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "JESSICA",
        "credential": "PHD, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1033616",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessah Warren
• Ginelly Watson
• Tegan Renee Weaver
• Lindsay Catharine Webber, DC, ATC
• Jeremy Weiss
• Lisa Whitmore
• Nicole Wiggins, NP
• Wildflower Behavioral Consulting, LLC.
• Nicole Marie Wilkinson, DPT
• William D. Tanke, OD, PA

• Registered Dietitian in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.