Individual provider Active NPI

Julie M. Jacobs-Higdon, RD / LDN

  • Registered Dietitian
  • Groveland, FL
National Provider Identifier
1639341928
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
279 Issued in FL
Practice address
4234 Ag Rd
Groveland, FL 34736-9426
Phone
(407) 446-3018
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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 279 FL Primary

Addresses

Primary practice location

4234 Ag Rd
Groveland, FL 34736-9426

Mailing address

4234 Ag Rd
Groveland, FL 34736-9426
Phone (407) 446-3018

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

State licenses

LicenseStateTypeSpecialty
279FLMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1639341928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 AG RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369426",
            "telephone_number": "407-446-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 AG RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369426",
            "telephone_number": "407-446-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-HIGDON",
        "first_name": "JULIE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "RD / LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.