Active NPI
Jill Ligon, RD, LD/N
- Registered Dietitian
- Atlantic Beach, FL
National Provider Identifier
1437660073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND8322
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| ND8322 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.