Active NPI
Linda Faye Jean, RD, LDN
- Registered Dietitian
- Titusville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 5054
- Practice address
- 951 N Washington Ave
Titusville, FL 32796-2163 - Phone
- (321) 268-6333
- NPI assigned
- Mar 7, 2008
- 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 | ND 5054 | FL | Primary |
Addresses
Primary practice location
951 N Washington Ave
Titusville, FL 32796-2163
Mailing address
951 N Washington Ave
Titusville, FL 32796-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, GA, WI, MA, DC, NJ, FL, OR
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1710 Keller Pkwy
Keller, TX 76248-3749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5054 | FL | MD | Registered Dietitian |
| 2900 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Season Clinical Care P.a. | Dietitian, Registered | Current | Accepting new patients |
| H-E-B, LP | Past | Accepting new patients |
Locations
130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926
130 E Congress St
Ste 213
Tucson, AZ 85701
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983
3 Allied Dr
Ste 303
Dedham, MA 02026
Phone (617) 645-4819
1050 SW 6th Ave
Ste 1100
Portland, OR 97204
Phone (469) 640-0057
6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489
1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
Organizations & group practices 3
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.
-
- Registered Dietitian
- Irving, TX
- NPI 1649933565
AZ, DC, Dietitian, Registered, FL, GA, MA, OR, WI
-
- Registered Dietitian
- Phoenix, AZ
- NPI 1609171636
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1073622411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1427228394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962163",
"telephone_number": "321-268-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "LINDA",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.