Jacqueline Jarrett, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN003573 Issued in PA

Practice address

961 Marcon Blvd Ste 115
Allentown, PA 18109-9371

Phone

(610) 443-1885

Fax

(610) 443-1685

NPI assigned

Oct 17, 2006

Last updated

May 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantage Nutrition and Wellness, LLCGroup PAC ID 2961549860, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Nutrition & Wellness, LLC

  • Registered Dietitian
  • Allentown, PA
  • NPI 1710168638

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1295815900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 115",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099371",
            "telephone_number": "610-443-1885",
            "fax_number": "610-443-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 115",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099371",
            "telephone_number": "610-443-1885",
            "fax_number": "610-443-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "JACQUELINE",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023924860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia S Jaquez de la Cruz, LSW
• Alfonzo Jaquez, MA
• Shadi Jarjous, M.D.
• Cara Elizabeth Jarmiolowski, MD
• Yaman Moath Husni Jarrar, MD
• George Jarrouj, MD
• Jacob Edward Jasinski, MD
• Jason a Pellegrino DMD PC (Pellegrino Dentistry)
• Amy Javia, MD
• Zeeshan Javid, M.D.

• Registered Dietitian in Allentown, PA
• Providers in Allentown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.