Active NPI
Jillian Meghan Klemm, RD, LD
- Registered Dietitian
- Greenville, SC
National Provider Identifier
1285390369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2227
- Practice address
- 57 Cross Park CT
Greenville, SC 29605-4264 - Phone
- (864) 220-8907
- NPI assigned
- Nov 12, 2021
- Last updated
- Aug 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86074335 | NU | |
| Registered Dietitian | 133V00000X | 2227 | SC | Primary |
Addresses
Primary practice location
57 Cross Park CT
Greenville, SC 29605-4264
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
200 Patewood Dr Ste A140
Greenville, SC 29615-3585
Phone (864) 454-5125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT1239 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jillian.klemm@prismahealth.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2227 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1285390369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 CROSS PARK CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054264",
"telephone_number": "864-220-8907"
}
],
"practiceLocations": [
{
"address_1": "200 Patewood Dr Ste A140",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296153585",
"country_code": "US",
"telephone_number": "864-454-5125",
"fax_number": "864-241-9201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEMM",
"first_name": "JILLIAN",
"middle_name": "MEGHAN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "86074335",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT1239",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jillian.klemm@prismahealth.org",
"affiliation": "N",
"address_1": "57 Cross Park Ct",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296054264",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.