Jessica Niemiec, MBA,RD
Individual provider Active NPI Registered Dietitian · Covington, IN
NPI 1104748219 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1104748219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86417589 (IN)
- Practice address
- 12008 Spring Creek Dr
Covington, IN 47932-7967 - Phone
- (847) 431-8069
- NPI assigned
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86417589 | IN | Yes |
Addresses
Primary practice location
12008 Spring Creek Dr
Covington, IN 47932-7967
Mailing address
12008 Spring Creek Dr
Covington, IN 47932-7967
Other providers in Covington, IN
- Mira Physical Therapy LLC
- Srinivas Miryanam
- Danyel Lacheon Moon
- Regan Nara
- Lisa Kay Nickle
- Whitney Overpeck
- Leona Margaret Paddock
- Jaykumar Patel
- Joseph Pepprock
- Makenzie Jo Pollard
All providers in Covington, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.