Individual provider Active NPI

Junior Jean-Paul, MS,CNS, CNGS

  • Nutrition Education Nutritionist
  • Wilmington, DE
National Provider Identifier
1346989340
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
DN007582 Issued in PA
Practice address
115 Christina Landing Dr Apt 807
Wilmington, DE 19801-5461
Phone
(646) 469-4477
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DN-0010856 DE
Nutrition Education Nutritionist 133NN1002X DN007582 PA Primary

Addresses

Primary practice location

115 Christina Landing Dr Apt 807
Wilmington, DE 19801-5461

Mailing address

115 Christina Landing Dr Apt 807
Wilmington, DE 19801-5461
Phone (646) 469-4477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL healthfulscopes.html

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
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DN-0010856DEMDNutrition Education Nutritionist
DN007582PAMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1346989340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHRISTINA LANDING DR APT 807",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015461",
            "telephone_number": "646-469-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTINA LANDING DR APT 807",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015461",
            "telephone_number": "646-469-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PAUL",
        "first_name": "JUNIOR",
        "credential": "MS,CNS, CNGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "DE",
            "license": "DN-0010856",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthfulscopes.html",
            "affiliation": "N",
            "address_1": "115 Christina Landing Dr Apt 807",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198015461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.