Active NPI
Jessica Brewer Nutrition
- Registered Dietitian
- New York, NY
National Provider Identifier
1558757682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007812
- Legal business name
- JESSICA BREWER NUTRITION
- Practice address
- 1133 Broadway
Suite 1023
New York, NY 10010-7903 - Phone
- (212) 470-2776
- NPI assigned
- Apr 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jessica Brewer, CDN
- Title
- Dietitian
- Phone
- (212) 470-2776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007812 | NY | Primary |
Addresses
Primary practice location
1133 Broadway
Suite 1023
New York, NY 10010-7903
Mailing address
1133 Broadway
Suite 1023
New York, NY 10010-7903
Phone (212) 470-2776
National Provider Directory
National Provider DirectoryLocations
1133 Broadway
Ste 1023
New York, NY 10010
Phone (212) 470-2776
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1558757682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"address_2": "SUITE 1023",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107903",
"telephone_number": "212-470-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"address_2": "SUITE 1023",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107903",
"telephone_number": "212-470-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA BREWER NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "212-470-2776",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.