Princess Jeffers, CNC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

0019005982 Issued in VA

Practice address

8014 Midlothian Tpke
Suite 200 a
Richmond, VA 23235-5291

Phone

(804) 592-4751

Fax

(804) 592-4752

NPI assigned

Jun 1, 2011

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

Other names 1

• Princess Jeffers Professional name

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.

• The Faces of Hope

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1316229776
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1639463151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35229",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232350229",
            "telephone_number": "804-592-4751",
            "fax_number": "804-592-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 MIDLOTHIAN TPKE",
            "address_2": "SUITE 200 A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355291",
            "telephone_number": "804-592-4751",
            "fax_number": "804-592-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "PRINCESS",
        "credential": "CNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "VA",
            "license": "0019005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRINCESS",
            "last_name": "JEFFERS",
            "credential": "CMT, CIMI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• JDM of Virginia LLC
• Tessa Jean-Baptiste, RPH
• Darlene Wanick Jean, DMD
• Paula Joan Jean, PHD
• Gregory Edmund Jeansonne, M.D.
• Sheena Christin Jeffers
• Karen W. Jefferson, M.D.
• Michael F Jefferson, M.D.
• Shanita Leanna Jefferson, R.K.T.
• Taylor Jefferson, PHARM. D.

• Nutritionist in Richmond, VA
• Providers in Richmond, VA by specialty
• Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.