Individual provider Active NPI

Jessica L Pashko, MS, RDN

  • Registered Dietitian
  • Burlington, VT
National Provider Identifier
1366080160
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
074.0134200 Issued in VT
Practice address
33 N Prospect St
Burlington, VT 05401-3339
Phone
(413) 313-6373
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 074.0134200 VT Primary

Addresses

Primary practice location

33 N Prospect St
Burlington, VT 05401-3339

Mailing address

33 N Prospect St
Burlington, VT 05401-3339
Phone (413) 313-6373

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Teladoc Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214002831 VT Practitioner - Registered Dietitian Or Nutrition Professional 6103295126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Adams Center for Mind and Body, LLC Dietitian, Registered CurrentSince Nov 10, 2022 Accepting new patients
The Adams Center for Mind & Body LLC Dietitian, Registered CurrentSince Nov 10, 2022 Accepting new patients

Locations

1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577

Organizations & group practices 2

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1366080160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N PROSPECT ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013339",
            "telephone_number": "413-313-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N PROSPECT ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013339",
            "telephone_number": "413-313-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHKO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0134200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Teladoc",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 N Prospect St",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054013339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.