Jessica Ricchiazzi, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007692 Issued in NY

Practice address

1540 Maple Rd
Williamsville, NY 14221-3647

Phone

(716) 568-3664

Fax

(716) 568-3019

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1407449036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213698",
            "telephone_number": "716-568-3446",
            "fax_number": "716-568-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213647",
            "telephone_number": "716-568-3664",
            "fax_number": "716-568-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHIAZZI",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel A Reyes, MD PHD
• Jonathan C Reynhout, MD
• Ann Marie Reynolds, MD
• Jamiesha Reynolds, LPN
• Kathleen Susanne Reynolds, MS OTR/L
• Tina M Ricchiazzi, FNP-BC
• Richard B Narins MD PC
• Michele Richards, LPN
• Valerie R Richardson Hetrick, PA-C
• Karmin Richardson, LPN

• Registered Dietitian in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.