Active NPI
Jessica L Murgueytio
- Registered Dietitian
- Bethesda, MD
National Provider Identifier
1326383019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX3410
- 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, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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
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 100
- Quality
- 95.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3410 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Medical Associates | Current | Accepting new patients |
Locations
10215 Fernwood Rd
Ste 50
Bethesda, MD 20817
Phone (301) 493-9607
Interoperability endpoints
- https://api.platform.athenahealth.com/13741/brand/1/csg/1/fhir/r4
- 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.