Active NPI
Jessica Pavlinec, RD, LD
- Registered Dietitian
- Mason City, IA
National Provider Identifier
1760804017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002184
- Practice address
- 551 S Illinois Ave
Mason City, IA 50401-4441 - Phone
- (641) 424-9741
- NPI assigned
- Jan 6, 2014
- Last updated
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 002184 | IA | Primary |
Addresses
Primary practice location
551 S Illinois Ave
Mason City, IA 50401-4441
Mailing address
600 N Kentucky Ave
Apt 202a
Mason City, IA 50401-2500
Phone (630) 461-6047
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 |
|---|---|---|---|
| 002184 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1760804017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N KENTUCKY AVE",
"address_2": "APT 202A",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012500",
"telephone_number": "630-461-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 S ILLINOIS AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504014441",
"telephone_number": "641-424-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLINEC",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "002184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.