Active NPI
Jessica Williams
- Registered Dietitian
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006190
- Practice address
- 10 Shurs LN
Philadelphia, PA 19127-2123 - Phone
- (215) 482-1234
- Fax
- (215) 482-0465
- NPI assigned
- Apr 25, 2022
- 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 | DN006190 | PA | Primary |
Addresses
Primary practice location
10 Shurs LN
Philadelphia, PA 19127-2123
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
121 Becks Wood Dr
Bear, DE 19701-3853
Phone (302) 365-8333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-0011159 | DE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical, LLC | Current | Accepting new patients |
Locations
121 Becks Woods Dr
Bear, DE 19701
Phone (302) 365-8333
121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200
800 Delaware Ave
Fl 5
Wilmington, DE 19801
Phone 3022669166454
600 Delaware Ave
Wilmington, DE 19801
Phone (302) 261-5600
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d0607508-3922-4bbc-924a-d608b5ffe3b7/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bear, DE
- NPI 1346619004
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1457095531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105",
"telephone_number": "215-707-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHURS LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191272123",
"telephone_number": "215-482-1234",
"fax_number": "215-482-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.