Active NPI
Jill Lauren Guiseppe, R.D., L.D.N., C.N.S.
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1457570434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004700
- Practice address
- 3635 N Front St
Philadelphia, PA 19140-4642 - Phone
- (704) 293-9856
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005385-1 | NY | |
| Registered Dietitian | 133V00000X | DN004700 | PA | Primary |
Addresses
Primary practice location
3635 N Front St
Philadelphia, PA 19140-4642
Mailing address
3635 N Front St
Philadelphia, PA 19140-4642
Phone (704) 293-9856
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005385-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassara Consulting | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1457570434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 N FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404642",
"telephone_number": "704-293-9856",
"fax_number": "215-427-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 N FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404642",
"telephone_number": "704-293-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUISEPPE",
"first_name": "JILL",
"middle_name": "LAUREN",
"credential": "R.D., L.D.N., C.N.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005385-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004700",
"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 Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.