Active NPI
Jennifer Rene Jusinski, RD
- Registered Dietitian
- Fremont, CA
National Provider Identifier
1407902844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 956895
- Practice address
- 39400 Paseo Padre Pkwy
Fremont, CA 94538-2310 - Phone
- (510) 248-7054
- Fax
- (510) 248-7057
- NPI assigned
- Jan 26, 2007
- 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 | 956895 | CA | Primary |
Addresses
Primary practice location
39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Mailing address
39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone (510) 248-7054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 956895 | Other | CA | CDR ID NUMBE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956895 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1407902844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39400 PASEO PADRE PKWY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382310",
"telephone_number": "510-248-7054",
"fax_number": "510-248-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39400 PASEO PADRE PKWY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382310",
"telephone_number": "510-248-7054",
"fax_number": "510-248-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSINSKI",
"first_name": "JENNIFER",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "956895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR ID NUMBE",
"identifier": "956895",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.