Jessica Ostheim, RD, LDN

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

License

86033588 Issued in NC

Practice address

11200 Governor Manly Way Ste 102
Raleigh, NC 27614-7360

Phone

(919) 570-5825

NPI assigned

Dec 15, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1649048000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Parkway Office Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275180002",
            "country_code": "US",
            "telephone_number": "919-570-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTHEIM",
        "first_name": "JESSICA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NC",
            "license": "86033588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ossler, L.C.S.W.
• Kimberly Ellen Ostapinski, DPT
• Jerri Ostergren, OT
• Jennifer Leigh-Ann Osterhoudt, MSW
• Lindsay Osterhoudt, HCHD, HCHI
• Holley Ostrander
• Barry S Ostrow, MD
• Osvold Psychotherapy & Testing, Inc.
• Lise Leigh Osvold, PH.D., L.P.
• Islam Mohamed Othman, M.D.

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.