Jessica Marie Pye Wittenberg, RDN, LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

900945 Issued in MT

Practice address

121 E Hugel St
Ennis, MT 59729-9074

Phone

(406) 579-2934

NPI assigned

Oct 12, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Pye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1225754245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597290763",
            "telephone_number": "406-579-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E HUGEL ST",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597299074",
            "telephone_number": "406-579-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYE WITTENBERG",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "RDN, LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "900945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PYE",
            "middle_name": "MARIE",
            "credential": "RDN, LN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Ennis, MT
• Providers in Ennis, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.