Jordan E Siragusa, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86031273 Issued in TX

Practice address

929 Graham Dr
Suite B
Tomball, TX 77375-6451

Phone

(281) 351-5548

Fax

(281) 351-5020

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan E Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1154730836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GRAHAM DR",
            "address_2": "SUITE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756451",
            "telephone_number": "281-351-5548",
            "fax_number": "281-351-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GRAHAM DR",
            "address_2": "SUITE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756451",
            "telephone_number": "281-351-5548",
            "fax_number": "281-351-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGUSA",
        "first_name": "JORDAN",
        "middle_name": "E",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86031273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BROWN",
            "middle_name": "E",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sangeeta Sinha, SA-C
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• Jennifer Slane, LPC
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• Registered Dietitian in Tomball, TX
• Providers in Tomball, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.