Jessica Danielle Teachout, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1124 Issued in ND

Practice address

4100 Goss Rd SW
Huntsville, AL 35809-0001

Phone

(808) 348-5128

NPI assigned

Dec 4, 2017

Last updated

Sep 21, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Jessica Danielle Teachout Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1497260186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LUNALILO HOME RD UNIT 7414",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251754",
            "telephone_number": "808-348-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358090001",
            "telephone_number": "808-348-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHOUT",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DEFENSE IDENTIFICATION NUMBER",
            "identifier": "1515034532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TEACHOUT",
            "middle_name": "DANIELLE",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Delane Taylor, CSFA
• Susana P Taylor, BCBA
• Herman McKinley Teachey, M.D.
• Kendall Teachey, RN
• Christy Bradley Teachout, NP-C
• James Dwayne Teague
• Team Select Home Care of Alabama LLC
• Nivedita Tella, M.B.B.S., M.D.
• William M Temple, MD
• Rachel Templeton, RN

• Registered Dietitian in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Registered Dietitian in Alabama

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