Active NPI
Jolene Yvette Harrison, MS RD CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1194904672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 48006347
- Practice address
- 15 Broad St
2700
New York, NY 10005-1923 - Phone
- (201) 245-4975
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 48006347 | NY | Primary |
Addresses
Primary practice location
15 Broad St
2700
New York, NY 10005-1923
Mailing address
15 Broad St
2700
New York, NY 10005-1923
Phone (201) 245-4975
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48006347 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1194904672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BROAD ST",
"address_2": "2700",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100051923",
"telephone_number": "201-245-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BROAD ST",
"address_2": "2700",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100051923",
"telephone_number": "201-245-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JOLENE",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "MS RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "48006347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.