Active NPI
Jessica Brown Spruill, RDN, LDN
- Registered Dietitian
- Ahoskie, NC
National Provider Identifier
1750700795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004262
- Practice address
- 718 Evans Street
Ahoskie, NC 27910 - Phone
- (252) 862-4217
- Fax
- (252) 332-4494
- NPI assigned
- Apr 7, 2014
- 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 | L004262 | NC | Primary |
Addresses
Primary practice location
718 Evans Street
Ahoskie, NC 27910
Mailing address
P.O. Box 246 801 North King St
Winton, NC 27986
Phone (252) 358-7833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004262 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hertford County Public Health Authority | 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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Ahoskie, NC
- NPI 1427198977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1750700795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 246 801 NORTH KING ST",
"city": "WINTON",
"state": "NC",
"postal_code": "27986",
"telephone_number": "252-358-7833",
"fax_number": "252-358-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 EVANS STREET",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "27910",
"telephone_number": "252-862-4217",
"fax_number": "252-332-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUILL",
"first_name": "JESSICA",
"middle_name": "BROWN",
"name_prefix": "Mrs.",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.