Jacquelyn S Meyer, MPH, RDN, ATC, CEDRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7846 Issued in FL

Practice address

33 6TH St S Ste 200
St Petersburg, FL 33701-4117

Phone

(727) 490-8811

Fax

(727) 502-2005

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Samantha Winton, LLC

  • Clinical Psychologist
  • Saint Petersburg, FL
  • NPI 1386184299
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447773932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136904",
            "telephone_number": "727-490-8811",
            "fax_number": "727-502-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 6TH ST S STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014117",
            "telephone_number": "727-490-8811",
            "fax_number": "727-502-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JACQUELYN",
        "middle_name": "S",
        "credential": "MPH, RDN, ATC, CEDRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Metzner, PHARMD
• Mevoli & Hancock Family Dentistry, PLLC
• Paul A Mevoli, DMD PA
• Aja Michelle Meyer, PHD
• Edward R Meyer, BS PHARM
• Paula J. Meyer, BS PHARM
• Samuel Robert Meyers, DC
• Steven Obrien Meyers, ARNP
• MHMS LLC
• MHS BKN LLC

• Registered Dietitian in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.