Individual provider Active NPI

Jessica L Murgueytio

  • Registered Dietitian
  • Bethesda, MD
National Provider Identifier
1326383019
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3410 Issued in MD
Practice address
10215 Fernwood Rd
Ste 50
Bethesda, MD 20817-1106
Phone
(301) 547-0569
Fax
(301) 493-5532
NPI assigned
Dec 6, 2012
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3410 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Ste 50
Bethesda, MD 20817-1106

Mailing address

19735 Germantown Rd
Ste 100
Germantown, MD 20874-1214
Phone (301) 917-6513

Other names 1

  • Jessica L Peacock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000036 DC Practitioner - Registered Dietitian Or Nutrition Professional 0840444717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Medical AssociatesGroup PAC ID 9537341128, 7 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 50
Bethesda, MD 20817-1174
Phone (301) 493-9607

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
95.7
Promoting interoperability
100
Improvement activities
40
Cost
75.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX3410MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Medical Associates CurrentSince Dec 1, 2012 Accepting new patients

Locations

10215 Fernwood Rd
Ste 50
Bethesda, MD 20817
Phone (301) 493-9607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13741/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.murgueytio.1@13741.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1326383019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN RD",
            "address_2": "STE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741214",
            "telephone_number": "301-917-6513",
            "fax_number": "301-917-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 50",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-547-0569",
            "fax_number": "301-493-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURGUEYTIO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PEACOCK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.