Individual provider Active NPI

Jamie Reisinger Dant, CNS, LDN

  • Nutritionist
  • Ellicott City, MD
National Provider Identifier
1164933388
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX3809 Issued in MD
Practice address
9449 Baltimore National Pike
Ellicott City, MD 21042-2803
Phone
(240) 339-3268
NPI assigned
Oct 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX3809 MD Primary

Addresses

Primary practice location

9449 Baltimore National Pike
Ellicott City, MD 21042-2803

Mailing address

4970 Walking Stick Rd Apt B
Ellicott City, MD 21043-8056
Phone (410) 409-2290

Other practice location 1

700 Geipe Rd Ste 275
Catonsville, MD 21228-4152
Phone (443) 636-3100

Other names 1

  • Jamie Antoinette Reisinger Former name

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
DX3809MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1508025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164933388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 WALKING STICK RD APT B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438056",
            "telephone_number": "410-409-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422803",
            "telephone_number": "240-339-3268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Geipe Rd Ste 275",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284152",
            "country_code": "US",
            "telephone_number": "443-636-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANT",
        "first_name": "JAMIE",
        "middle_name": "REISINGER",
        "name_prefix": "Mrs.",
        "credential": "CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "REISINGER",
            "middle_name": "ANTOINETTE",
            "credential": "CNS, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.