Individual provider Active NPI

Jessica Quinones, MS, CNS, LDN

  • Nutritionist
  • Baltimore, MD
National Provider Identifier
1255783296
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX3962 Issued in MD
Practice address
6411 Blenheim Rd
Baltimore, MD 21212-1716
Phone
(443) 837-7880
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX3962 MD Primary

Addresses

Primary practice location

6411 Blenheim Rd
Baltimore, MD 21212-1716

Mailing address

6411 Blenheim Rd
Baltimore, MD 21212-1716
Phone (443) 837-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 22, 2022 through Sep 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX3962MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Quinones, LLC Nutritionist CurrentSince Nov 24, 2025 Accepting new patients
Marjorie Nolan Cohn LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1255783296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 BLENHEIM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121716",
            "telephone_number": "443-837-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 BLENHEIM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121716",
            "telephone_number": "443-837-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JESSICA",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.