Individual provider Active NPI

Jessica J. Paine, R.D.L.D.

  • Registered Dietitian
  • Paducah, KY
National Provider Identifier
1861768913
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2420 Issued in KY
Practice address
619 N 30TH St
Paducah, KY 42001-4047
Phone
(270) 444-8183
Fax
(270) 444-8147
NPI assigned
Mar 22, 2012
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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 2420 KY Primary

Addresses

Primary practice location

619 N 30TH St
Paducah, KY 42001-4047

Mailing address

619 N 30TH St
Paducah, KY 42001-4047
Phone (270) 444-8183

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

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1861768913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N 30TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014047",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 30TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014047",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "JESSICA",
        "middle_name": "J.",
        "credential": "R.D.L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.