Active NPI
Jessica Erdelyi
- Registered Dietitian
- Springfield, OH
National Provider Identifier
1326414251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7655
- Practice address
- 100 Medical Center Dr
Springfield, OH 45504-2687 - Phone
- (937) 523-1000
- NPI assigned
- Aug 14, 2015
- Last updated
- Aug 14, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7655 | OH | Primary |
Addresses
Primary practice location
100 Medical Center Dr
Springfield, OH 45504-2687
Mailing address
6421 S Rangeline Rd
West Milton, OH 45383-9605
Phone (937) 581-3198
Other names 1
- Jessica Mae Grilliot
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7655 | OH | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1326414251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 S RANGELINE RD",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453839605",
"telephone_number": "937-581-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042687",
"telephone_number": "937-523-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDELYI",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GRILLIOT",
"middle_name": "MAE",
"credential": "RD, LD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.