Active NPI
Debra J Jeske, MS, RD, LD
- Registered Dietitian
- Chesterfield, MO
National Provider Identifier
1275655219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2001021477
- Practice address
- 232 S Woods Mill Rd
Chesterfield, MO 63017-3417 - Phone
- (314) 205-6367
- NPI assigned
- Apr 3, 2007
- 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 | 2001021477 | MO | Primary |
Addresses
Primary practice location
232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Mailing address
3848 Autumn View Dr
Arnold, MO 63010-3563
Phone (636) 296-6898
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 |
|---|---|---|---|
| 2001021477 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275655219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 AUTUMN VIEW DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630103563",
"telephone_number": "636-296-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 S WOODS MILL RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173417",
"telephone_number": "314-205-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESKE",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2001021477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.