Jessica Marie Brightly, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86089385 Issued in NY

Practice address

108 Brook Meadows TRL
Brockport, NY 14420-1247

Phone

(585) 281-1741

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By 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 Page 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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1295595056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BROOK MEADOWS TRL",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201247",
            "telephone_number": "585-281-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BROOK MEADOWS TRL",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201247",
            "telephone_number": "585-281-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTLY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86089385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PAGE",
            "middle_name": "MARIE",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas E Bowdler, D.M.D.
• Patrick Bower
• Penny Bowers, LMT
• Geena Brady, PT
• Brian Reid Briggs, PT
• Loretta Anne Brigman, PA
• Brockport Central School District
• Brockport Dental PLLC
• Brockport Internal Medicine, PC
• Brockport Marriage & Family Therapy, P.C.

• Registered Dietitian in Brockport, NY
• Providers in Brockport, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.