Active NPI
Jenna Trybus, RDN/LDN
- Registered Dietitian
- Greensburg, PA
National Provider Identifier
1184309452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86210696
- Practice address
- 530 South Street
Medical Commons One Suite 300
Greensburg, PA 15601 - Phone
- (724) 850-3142
- Fax
- (724) 850-3143
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86210696 | PA | Primary |
Addresses
Primary practice location
530 South Street
Medical Commons One Suite 300
Greensburg, PA 15601
Mailing address
532 South Street
Medical Commons One Suite 300
Greensburg, PA 15601
Phone (724) 850-3142
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86210696 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excela Health Physician Practices, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Excela Health Behavioral Health
- Psychiatry Physician
- Greensburg, PA
- NPI 1861438095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1184309452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 SOUTH STREET",
"address_2": "MEDICAL COMMONS ONE SUITE 300",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-850-3142",
"fax_number": "724-850-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 SOUTH STREET",
"address_2": "MEDICAL COMMONS ONE SUITE 300",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-850-3142",
"fax_number": "724-850-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYBUS",
"first_name": "JENNA",
"credential": "RDN/LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86210696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.