Jordan Rae Kaufman, RD, CDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86026946 Issued in NY

Practice address

400 K St NW Apt 516
Washington, DC 20001-3083

Phone

(914) 588-9643

NPI assigned

Nov 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Rae Ellick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1427591593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 K ST NW APT 516",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013083",
            "telephone_number": "914-588-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 K ST NW APT 516",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013083",
            "telephone_number": "914-588-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JORDAN",
        "middle_name": "RAE",
        "credential": "RD, CDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86026946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "ELLICK",
            "middle_name": "RAE",
            "credential": "RD, CDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mira R Kauffman-Rosengarten
• Catharine Lisa Kauffman, M.D.
• Amber M Kaufman, APN
• David Kaufman, D.C.
• Jennifer Elizabeth Kaufman
• Lindsay Kaufman
• Lisa Claire Kaufman, M.D.
• Richard Miles Kaufman, MD
• Steven M Kaufman, D.M.D.
• Stuart Stephen Kaufman

• Registered Dietitian in Washington, DC
• Providers in Washington, DC by specialty
• Registered Dietitian in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.