Individual provider Active NPI

Jessica Schores, RD, LDN

  • Registered Dietitian
  • Arvada, CO
National Provider Identifier
1205307634
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4721 Issued in MA
Practice address
6452 Fig St Unit C
Arvada, CO 80004-1060
Phone
(781) 835-9560
Fax
(877) 743-5351
NPI assigned
Dec 11, 2018
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 4721 MA Primary

Addresses

Primary practice location

6452 Fig St Unit C
Arvada, CO 80004-1060

Mailing address

6452 Fig St Unit C
Arvada, CO 80004-1060
Phone (781) 835-9560

Other practice location 1

451 Andover St Ste 185
North Andover, MA 01845-5075
Phone (781) 835-9560

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

State licenses

LicenseStateTypeSpecialty
4721MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition in Motion Dietitian, Registered PastSince Sep 23, 2021 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1205307634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 FIG ST UNIT C",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041060",
            "telephone_number": "781-835-9560",
            "fax_number": "877-743-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 FIG ST UNIT C",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041060",
            "telephone_number": "781-835-9560",
            "fax_number": "877-743-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St Ste 185",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455075",
            "country_code": "US",
            "telephone_number": "781-835-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHORES",
        "first_name": "JESSICA",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.