Active NPI
Jessica Byrd White, RDN, LDN
- Registered Dietitian
- Dothan, AL
National Provider Identifier
1578955449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2469
- Practice address
- 1825 W Main St
Dothan, AL 36301-1319 - Phone
- (334) 699-8175
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2469 | AL | Primary |
Addresses
Primary practice location
1825 W Main St
Dothan, AL 36301-1319
Mailing address
1825 W Main St
Dothan, AL 36301-1319
Phone (334) 699-8175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1825 W Main St
Dothan, AL 36301-1319
Phone (334) 699-8175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2469 | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Byrd White LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3113 Wesley Way
Ste 2
Dothan, AL 36305
Phone (334) 203-4145
1825 W Main St
Dothan, AL 36301
Phone (334) 699-8175
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": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1578955449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011319",
"telephone_number": "334-699-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011319",
"telephone_number": "334-699-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JESSICA",
"middle_name": "BYRD",
"name_prefix": "Mrs.",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.