Jessika Rose, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX3623 Issued in MD

Practice address

9105 Franklin Square Drive
Suite 305/306
Rosedale, MD 21237

Phone

(443) 777-2516

NPI assigned

Dec 2, 2020

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)

Enrolled

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1467057018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE 305/306",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-777-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE 305/306",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-777-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JESSIKA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyoko Rodrigues, LGPC
• Camila Rodriguez
• Angela Roelofs, LCSW-C
• Finny Rogers
• Lynn Alexandra Rosa, LCPC
• Madeline Ann Rose, LGPC
• Miracle Rose, LMSW
• Rosedale Occupational Medical Services
• Rosedale Primary Care Physician, P.C.
• Kaitlyn Ross

• Registered Dietitian in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.