Individual provider Active NPI

Jessica Gerken, MS, RDN/LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1609353275
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3107 NW 50TH St
Oklahoma City, OK 73112-5302
Phone
(405) 949-0237
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3107 NW 50TH St
Oklahoma City, OK 73112-5302

Mailing address

6801 E 2ND St
Edmond, OK 73034-7712
Phone (405) 600-4947

Other practice location 1

13101 Memorial Springs Ct
Oklahoma City, OK 73114-2228
Phone (405) 438-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fresenius Medical Care Central Oklahoma City Dialysis Center, LLC CurrentSince Dec 27, 2020 Accepting new patients
Oakwood Springs Physician Group LLC PastSince Mar 28, 2017 Accepting new patients
Oakwood Springs, LLC Past Accepting new patients

Locations

3107 NW 50th St
Oklahoma City, OK 73112
Phone (405) 949-0237

Organizations & group practices 3

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1609353275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 E 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347712",
            "telephone_number": "405-600-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125302",
            "telephone_number": "405-949-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 Memorial Springs Ct",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731142228",
            "country_code": "US",
            "telephone_number": "405-438-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERKEN",
        "first_name": "JESSICA",
        "credential": "MS, RDN/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.