Individual provider Active NPI

Jill Fuster, M.S., R.D., L.D.N.

  • Registered Dietitian
  • Rockville, MD
National Provider Identifier
1760839989
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D01933 Issued in MD
Practice address
11300 Rockville Pike
Suite 503
Rockville, MD 20852-3003
Phone
(301) 652-8720
Fax
(301) 984-3332
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D01933 MD Primary

Addresses

Primary practice location

11300 Rockville Pike
Suite 503
Rockville, MD 20852-3003

Mailing address

11300 Rockville Pike
Suite 503
Rockville, MD 20852-3003
Phone (301) 652-8720

Other names 1

  • Ms. Jill Merchant Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D01933MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1760839989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 503",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523003",
            "telephone_number": "301-652-8720",
            "fax_number": "301-984-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 503",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523003",
            "telephone_number": "301-652-8720",
            "fax_number": "301-984-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSTER",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MERCHANT",
            "prefix": "MS.",
            "credential": "M.S., R.D., L.D.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.