Individual provider Active NPI

Jayashree Sanghavi

  • Registered Dietitian
  • Ellicott City, MD
National Provider Identifier
1740952654
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2783 Issued in MD
Practice address
4404 Doncaster Dr
Ellicott City, MD 21043-6797
Phone
(845) 380-4820
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DX2783 MD Primary

Addresses

Primary practice location

4404 Doncaster Dr
Ellicott City, MD 21043-6797

Mailing address

4404 Doncaster Dr
Ellicott City, MD 21043-6797
Phone (845) 380-4820

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
DX2783MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1740952654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 DONCASTER DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436797",
            "telephone_number": "845-380-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 DONCASTER DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436797",
            "telephone_number": "845-380-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHAVI",
        "first_name": "JAYASHREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.