Active NPI
Jessica Nicole Humphries, RD
- Registered Dietitian
- Washington, MO
National Provider Identifier
1356012348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2019040081
- Practice address
- 1721 Heritage Hills Dr
Washington, MO 63090-4621 - Phone
- (314) 851-1000
- Fax
- (314) 851-4445
- NPI assigned
- Sep 21, 2021
- Last updated
- Oct 4, 2022
- 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 | 2019040081 | MO | Primary |
Addresses
Primary practice location
1721 Heritage Hills Dr
Washington, MO 63090-4621
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 851-1000
Other practice location 1
1475 Kisker Rd Ste 230
Saint Charles, MO 63304-8791
Phone (314) 851-1000
Other practice location 2
1551 Wall St Ste 400
Saint Charles, MO 63303-3541
Phone (314) 851-1000
Other practice location 3
1343 NE Service Rd
Warrenton, MO 63383-1387
Phone (314) 851-1000
Other practice location 4
3195 Phoenix Center Dr
Washington, MO 63090-5689
Phone (314) 851-1000
Other practice location 5
12255 De Paul Dr Ste 700
Bridgeton, MO 63044-2515
Phone (314) 851-1000
Other names 1
- Jessica Nicole Orscheln
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Nutrition Coaching Co | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Registered Dietitian
- Saint Charles, MO
- NPI 1689517112
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1356012348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-851-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 HERITAGE HILLS DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904621",
"telephone_number": "314-851-1000",
"fax_number": "314-851-4445"
}
],
"practiceLocations": [
{
"address_1": "1475 Kisker Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633048791",
"country_code": "US",
"telephone_number": "314-851-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1551 Wall St Ste 400",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633033541",
"country_code": "US",
"telephone_number": "314-851-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1343 NE Service Rd",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "MO",
"postal_code": "633831387",
"country_code": "US",
"telephone_number": "314-851-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3195 Phoenix Center Dr",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630905689",
"country_code": "US",
"telephone_number": "314-851-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12255 De Paul Dr Ste 700",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442515",
"country_code": "US",
"telephone_number": "314-851-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2019040081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ORSCHELN",
"middle_name": "NICOLE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington, MO
- Dorinda Howard, MT.
- Dawn Marie Howell, P.T.
- Jessica Erin Howell, PHARMD
- Nancy Lynn Huber, PTA
- Christopher Hueser, D.O.,M.S.
- Linda Kay Hussey, R.N.
- Michelle Lynn Hutchings, FNP-BC
- Benjamin Ingenthron, PA
- J & C Goldsmith LLC (Scott's Home Health Medical Supply)
- J & C Goldsmith LLC (Beste Home Health Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.