Active NPI
Jessica J Davidson, RD, CD
- Registered Dietitian
- Columbus, WI
National Provider Identifier
1386078368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2618 - 29
- Practice address
- 1515 Park Ave
Columbus, WI 53925-1618 - Phone
- (920) 623-1294
- Fax
- (920) 623-1250
- NPI assigned
- Aug 27, 2013
- Last updated
- Aug 27, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2618 - 29 | WI | Primary |
Addresses
Primary practice location
1515 Park Ave
Columbus, WI 53925-1618
Mailing address
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-1294
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 |
|---|---|---|---|
| 2618 - 29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1386078368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-1294",
"fax_number": "920-623-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-1294",
"fax_number": "920-623-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JESSICA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RD, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2618 - 29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, WI
- Columbus Family Dental, Inc.
- Columbus Operator, LLC (Columbus Health and Rehab)
- Columbus School District
- Lisa Beth Courchaine, LCSW
- Tyler Curty, DPT
- Dean Health Systems, Inc. (SSM Health Dean Medical Group Specialty Services - Columbus)
- Dean Health Systems, Inc. (SSM Health Dean Medical Group- Columbus)
- Dean Retail Services, Inc. (SSM Health Davis Duehr Dean Eye Care)
- Stacey Depies, DPT
- Droessler Chiropractic SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.