Individual provider Active NPI

Jamese Tanner, MS, RD, QMHP

  • Registered Dietitian
  • Chesterfield, VA
National Provider Identifier
1720823933
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
9401 Courthouse Rd
Chesterfield, VA 23832-6690
Phone
(804) 616-4378
Fax
(804) 451-4586
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 VA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

9401 Courthouse Rd
Chesterfield, VA 23832-6690

Mailing address

PO Box 2947
Chesterfield, VA 23832-9118
Phone (804) 616-4378

Other practice location 1

9401 Courthouse Rd
Chesterfield, VA 23832-6690
Phone (804) 533-7444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106003519 VA Practitioner - Registered Dietitian Or Nutrition Professional 4688164726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellad Nutrition Consulting LLCGroup PAC ID 8123271236, 2 clinicians

Practice addresses (Care Compare)

9401 Courthouse Rd
Suite 202
Chesterfield, VA 23832-6687
Phone 80461643783

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellad Nutrition Consulting, LLC Dietitian, Registered CurrentSince Oct 1, 2025 Accepting new patients
TLT Consulting Dietitian, Registered CurrentSince Oct 1, 2025 Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

9401 Courthouse Rd
Ste 202B
Chesterfield, VA 23832

9401 Courthouse Rd
Chesterfield, VA 23832
Phone (804) 533-7444

9401 Courthouse Rd
Ste 202
Chesterfield, VA 23832
Phone (804) 533-7444

Organizations & group practices 2

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1720823933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329118",
            "telephone_number": "804-616-4378",
            "fax_number": "804-451-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326690",
            "telephone_number": "804-616-4378",
            "fax_number": "804-451-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238326690",
            "country_code": "US",
            "telephone_number": "804-533-7444",
            "fax_number": "804-451-4586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JAMESE",
        "credential": "MS, RD, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.