Individual provider Active NPI

Jill Ligon, RD, LD/N

  • Registered Dietitian
  • Atlantic Beach, FL
National Provider Identifier
1437660073
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8322 Issued in FL
Practice address
66 W 7TH St
Atlantic Beach, FL 32233-3474
Phone
(763) 439-0610
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND8322 FL Primary

Addresses

Primary practice location

66 W 7TH St
Atlantic Beach, FL 32233-3474

Mailing address

PO Box 331895
Atlantic Beach, FL 32233-1719
Phone (612) 568-5610

Other practice location 1

353 6th Ave S
Jacksonville Beach, FL 32250
Phone (904) 250-0910

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

LicenseStateTypeSpecialty
ND8322FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ligon Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1437660073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331895",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322331719",
            "telephone_number": "612-568-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W 7TH ST",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333474",
            "telephone_number": "763-439-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "904-250-0910",
            "fax_number": "877-992-0328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGON",
        "first_name": "JILL",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.