Jessica L Cardin, MS RD CSSD LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86012244 Issued in TN

Practice address

1 Hume Drive
Hurlburt Field, FL 32544

Phone

(808) 474-2698

NPI assigned

Sep 23, 2016

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1629527270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 VICTOR WHARF ACCESS RD",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823400",
            "telephone_number": "808-474-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUME DRIVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "808-474-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "MS RD CSSD LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "86012244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Bucy, M.D.
• Patrick A Burns, FNP
• Tamara Nicole Burton, LCSW
• Pauline Marie Buss, LCSW
• Christina R Cannon
• Evan Carson, DPT
• Elizabeth A. Casstevens, M.D.
• Donald Harold Chattin, DDS
• Whay-Yih Cheng, DO
• Eric M Chumbley, MD

• Registered Dietitian in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.