Active NPI
Jenifer Kersmanc, MS, CNS, LDN
- Nutrition Education Nutritionist
- Bowie, MD
National Provider Identifier
1326710815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 16701 Melford Blvd Ste 400
Bowie, MD 20715-4411 - Phone
- (443) 232-2094
- NPI assigned
- Oct 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Mailing address
328 Valiant Cir
Glen Burnie, MD 21061-6117
Phone (717) 413-5219
Other practice location 1
328 Valiant Cir
Glen Burnie, MD 21061-6117
Phone (717) 413-5219
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1326710815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 VALIANT CIR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616117",
"telephone_number": "717-413-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD STE 400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "443-232-2094"
}
],
"practiceLocations": [
{
"address_1": "328 Valiant Cir",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210616117",
"country_code": "US",
"telephone_number": "717-413-5219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERSMANC",
"first_name": "JENIFER",
"credential": "MS, CNS, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-02",
"last_updated": "2021-12-28",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.