NPIMap

Organization Active NPI

Rd Jrod Nutrition Counseling LLC

  • Registered Dietitian
  • Youngstown, OH
National Provider Identifier
1184377319
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
RD JROD NUTRITION COUNSELING LLC
Practice address
947 Compass West Dr
Youngstown, OH 44515-3441
Phone
(330) 720-4912
Fax
(330) 595-4727
NPI assigned
Jan 28, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Jarrod S Boyle, RDNPI 1134717986
Title
Owner
Phone
(330) 720-4912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

947 Compass West Dr
Youngstown, OH 44515-3441

Mailing address

947 Compass West Dr
Youngstown, OH 44515-3441
Phone (330) 720-4912

Other practice location 1

3 E Poland Ave
Bessemer, PA 16112-9109
Phone (330) 720-4912

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rdjrod7@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322001367 PA Part B Supplier - Clinic/Group Practice 8921493313 Receives reassigned benefits from 3 practitioners
Practice locations: Bessemer, PA

National Provider Directory

National Provider Directory

Locations

3 E Poland Ave
Bessemer, PA 16112
Phone (330) 720-4912

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1184377319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 COMPASS WEST DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153441",
            "telephone_number": "330-720-4912",
            "fax_number": "330-595-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 COMPASS WEST DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153441",
            "telephone_number": "330-720-4912",
            "fax_number": "330-595-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 E Poland Ave",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "PA",
            "postal_code": "161129109",
            "country_code": "US",
            "telephone_number": "330-720-4912",
            "fax_number": "330-575-4727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RD JROD NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-720-4912",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rdjrod7@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "947 Compass West Dr",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445153441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.