Individual provider Active NPI

Jane Ossa Jurugo, MS, RDN, LD

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1649850512
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85819 Issued in TX
Practice address
4500 Spring Ave
Dallas, TX 75210-1350
Phone
(214) 865-3051
Fax
(214) 865-3070
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86100839 TX
Registered Dietitian 133V00000X DT85819 TX Primary

Addresses

Primary practice location

4500 Spring Ave
Dallas, TX 75210-1350

Mailing address

4500 Spring Ave
Dallas, TX 75210-1350
Phone (214) 865-3051

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjurugo789161@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112001763 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476945940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86100839TXMDRegistered Dietitian
DT85819TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 26, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 26, 2022 Accepting new patients

Locations

4500 Spring Ave
Ste 130
Dallas, TX 75210
Phone (214) 835-3060

4500 Spring Ave
Dallas, TX 75210
Phone (214) 865-3060

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1649850512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SPRING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752101350",
            "telephone_number": "214-865-3051",
            "fax_number": "214-865-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SPRING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752101350",
            "telephone_number": "214-865-3051",
            "fax_number": "214-865-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURUGO",
        "first_name": "JANE",
        "middle_name": "OSSA",
        "name_prefix": "Miss",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86100839",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjurugo789161@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4500 Spring Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752101350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.