Active NPI
Jessica Ann Hall, RD, LD
- Registered Dietitian
- Galion, OH
National Provider Identifier
1194167288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6443
- Practice address
- 269 Portland Way S
Galion, OH 44833-2312 - Phone
- (419) 468-0674
- NPI assigned
- Jul 18, 2013
- 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 | 6443 | OH | Primary |
Addresses
Primary practice location
269 Portland Way S
Galion, OH 44833-2312
Mailing address
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-0674
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 |
|---|---|---|---|
| 6443 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1194167288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 PORTLAND WAY S",
"city": "GALION",
"state": "OH",
"postal_code": "448332312",
"telephone_number": "419-468-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 PORTLAND WAY S",
"city": "GALION",
"state": "OH",
"postal_code": "448332312",
"telephone_number": "419-468-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.