Active NPI
Jennifer Springborn, R.D.
- Registered Dietitian
- Hermitage, PA
National Provider Identifier
1366996209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005952
- Practice address
- 2425 Garden Way
Suite 101
Hermitage, PA 16148-5215 - Phone
- (724) 981-2394
- NPI assigned
- Aug 9, 2016
- Last updated
- Sep 2, 2016
- 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 | DN005952 | PA | Primary |
Addresses
Primary practice location
2425 Garden Way
Suite 101
Hermitage, PA 16148-5215
Mailing address
2425 Garden Way
Ste 101
Hermitage, PA 16148-5215
Phone (724) 981-0630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN005952 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1366996209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 GARDEN WAY",
"address_2": "STE 101",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161485215",
"telephone_number": "724-981-0630",
"fax_number": "724-981-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 GARDEN WAY",
"address_2": "SUITE 101",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161485215",
"telephone_number": "724-981-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGBORN",
"first_name": "JENNIFER",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.