Individual provider Active NPI

Jacqueline A Geralnick, MPH, RDN, LDN

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1720417389
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI100000540 Issued in DC
Practice address
1843 Mintwood PL NW Apt 106
Washington, DC 20009-1934
Phone
(703) 909-5434
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 DI100000540 DC Primary
Registered Dietitian 133V00000X DX3342 MD

Addresses

Primary practice location

1843 Mintwood PL NW Apt 106
Washington, DC 20009-1934

Mailing address

1843 Mintwood PL NW Apt 106
Washington, DC 20009-1934
Phone (703) 909-5434

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

State licenses

LicenseStateTypeSpecialty
DI100000540DCMDRegistered Dietitian
DX3342MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1720417389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 MINTWOOD PL NW APT 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091934",
            "telephone_number": "703-909-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 MINTWOOD PL NW APT 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091934",
            "telephone_number": "703-909-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALNICK",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "MPH, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100000540",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.