Individual provider Active NPI

Jessica O'Hara-Anderson

  • Nutritionist
  • Columbia, MD
National Provider Identifier
1134087232
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX7895 Issued in MD
Practice address
7130 Minstrel Way Ste 160
Columbia, MD 21045-5336
Phone
(410) 312-9922
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X DX7895 MD Primary

Addresses

Primary practice location

7130 Minstrel Way Ste 160
Columbia, MD 21045-5336

Mailing address

4724 Dorsey Hall Dr Unit 701
Ellicott City, MD 21042-7700
Phone (510) 823-6835

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

LicenseStateTypeSpecialty
DX7895MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Wellness, LLC Single Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1134087232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 DORSEY HALL DR UNIT 701",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427700",
            "telephone_number": "510-823-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455336",
            "telephone_number": "410-312-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA-ANDERSON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX7895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.