Active NPI
Jennifer Andia Warshaw, MS, MPH, RDN, LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1649897026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005719
- Practice address
- 408 Regatta Dr
Philadelphia, PA 19146-5247 - Phone
- (610) 745-6644
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | DN005719 | PA | |
| Registered Dietitian | 133V00000X | DN005719 | PA | Primary |
Addresses
Primary practice location
408 Regatta Dr
Philadelphia, PA 19146-5247
Mailing address
408 Regatta Dr
Philadelphia, PA 19146-5247
Phone (610) 745-6644
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN005719 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1649897026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 REGATTA DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191465247",
"telephone_number": "610-745-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 REGATTA DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191465247",
"telephone_number": "610-745-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSHAW",
"first_name": "JENNIFER",
"middle_name": "ANDIA",
"credential": "MS, MPH, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "PA",
"license": "DN005719",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.