Individual provider Active NPI

Jill Lauren Guiseppe, R.D., L.D.N., C.N.S.

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1457570434
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004700 Issued in PA
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

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
005385-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cassara Consulting Dietitian, Registered PastSince Nov 1, 2021 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.

Verify at the official NPI Registry.