JG Performance and Wellness L.L.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JG PERFORMANCE AND WELLNESS L.L.C.

Practice address

1438 Decatur St
Baltimore, MD 21230-5213

Phone

(601) 595-0985

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jereme' Antwon Gallier, RD, LDNPI 1639814643

Title

Owner/Founder

Phone

(601) 595-0985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jereme' A Gallier, RD, LD

  • Sports Dietetics Nutrition Registered Dietitian
  • Baltimore, MD
  • NPI 1639814643
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1811681869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DECATUR ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305213",
            "telephone_number": "601-595-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DECATUR ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305213",
            "telephone_number": "601-595-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG PERFORMANCE AND WELLNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A",
        "authorized_official_last_name": "GALLIER",
        "authorized_official_first_name": "JEREME'",
        "authorized_official_middle_name": "ANTWON",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "601-595-0985",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.