Jessica Michelle Pizano, DCN, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

7867 Hampton Forest LN
Chesterfield, VA 23832-1974

Phone

(860) 321-7234

Fax

(860) 785-6590

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1710517461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 HAMPTON FOREST LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321974",
            "telephone_number": "860-321-7234",
            "fax_number": "860-785-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7867 HAMPTON FOREST LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321974",
            "telephone_number": "860-321-7234",
            "fax_number": "860-785-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZANO",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "DCN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNS",
            "identifier": "17148",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mastcelladvanceddiagnostics.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business",
            "address_1": "7867 Hampton Forest Ln",
            "city": "Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238321974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.