Tricia Lynn Jefferson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT89497 Issued in TX

Practice address

2915 Bodine Dr
Wilmington, DE 19810-2246

Phone

(302) 420-0824

Fax

(302) 250-4895

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Young Men'S Christian Association of Delaware

  • Health Educator
  • Wilmington, DE
  • NPI 1205381332
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1629536560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 BODINE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102246",
            "telephone_number": "302-420-0824",
            "fax_number": "302-250-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 BODINE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102246",
            "telephone_number": "302-420-0824",
            "fax_number": "302-250-4895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W 10th St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198016607",
            "country_code": "US",
            "telephone_number": "302-571-6998",
            "fax_number": "302-250-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN0000273",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenika Jean-Paul, PSY
• Tamla Nicole Jean
• Jeanette Y. Son, DMD PA
• Tawanda Jeannette Jeffcoat
• Sherice Dana Jefferies, LCSW
• Wayne Bernard Jefferson
• Jeffrey S. Meyers, MD and Associates, PA
• Elizabeth Jeker
• Mrudula Jelish, NP
• Jacob Raymond Jellison, FNP

• Registered Dietitian in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Registered Dietitian in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.