Jessica Provost, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3506 W 78TH St
Prairie Village, KS 66208-4032

Phone

(913) 927-9116

NPI assigned

Aug 24, 2019

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)

Not enrolled

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1508413493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 W 78TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084032",
            "telephone_number": "913-927-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 W 78TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084032",
            "telephone_number": "913-927-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "JESSICA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Village Chiropractic, PA
• Aakshi Prakash
• Precision Dermatology and Skin Cancer Center LLC
• Twila L Preston, PHD
• Chelsea Morey Pritchett, DPT
• Sara Purscell, OTP
• PV Dental, LLC
• Anjulie Quick, M.D
• Steven Rains, NP LLC
• Julia Rankin

• Registered Dietitian in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.