Jaeana Antonia Tooson, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

267659 Issued in KY

Practice address

1002 Lexington Rd Ste 25B
Georgetown, KY 40324-1480

Phone

(502) 735-4579

Fax

(502) 570-3719

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jaeana Antonia Gates Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaeana.tooson.1@19475.direct.athenahealth.com

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.

• Kentucky Mso LLC

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883

  Single Specialty

  NPD
• Kentucky Mso LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Kentucky Mso, LLC

  • Cardiovascular Disease Physician
  • Georgetown, KY
  • NPI 1679902340
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1104526441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LEXINGTON RD STE 25B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241480",
            "telephone_number": "502-735-4579",
            "fax_number": "502-570-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LEXINGTON RD STE 25B",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241480",
            "telephone_number": "502-735-4579",
            "fax_number": "502-570-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOSON",
        "first_name": "JAEANA",
        "middle_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "267659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAEANA",
            "last_name": "GATES",
            "middle_name": "ANTONIA",
            "prefix": "MISS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jazlyn Tillman
• Cortlyn Brooke Todd, ATC, EMT-B
• Kate Todd, MS, LAT, ATC
• Kelsey Ann Todd, ATC
• Jared Tompkins
• Amber Toy, RBT
• Kaitlyn Tracy
• Paul S Tran, D.C.
• Olivia Meck Tranter
• Meghan Elisabeth Trella, ATC

• Registered Dietitian in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.