Active NPI
Jessica L Cupp, RD
- Registered Dietitian
- Redding, CA
National Provider Identifier
1700063328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3184 Churn Creek Rd
Redding, CA 96002-2122 - Phone
- (530) 226-1759
- NPI assigned
- Jan 25, 2008
- Last updated
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
3184 Churn Creek Rd
Redding, CA 96002-2122
Mailing address
3184 Churn Creek Rd
Redding, CA 96002-2122
Phone (530) 226-1759
Other names 1
- Ms. Jessica L Forgie
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1700063328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 CHURN CREEK RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960022122",
"telephone_number": "530-226-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 CHURN CREEK RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960022122",
"telephone_number": "530-226-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPP",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "FORGIE",
"middle_name": "L",
"prefix": "MS.",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.