Individual provider Active NPI

Jessica Sylvester, MS, RD, LDN

  • Registered Dietitian
  • Coconut Creek, FL
National Provider Identifier
1861930349
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 8105 Issued in FL
Practice address
5350 W Hillsboro Blvd
#105
Coconut Creek, FL 33073-4396
Phone
(954) 360-7883
NPI assigned
Feb 6, 2017
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 ND 8105 FL Primary

Addresses

Primary practice location

5350 W Hillsboro Blvd
#105
Coconut Creek, FL 33073-4396

Mailing address

PO Box 810172
Boca Raton, FL 33481-0172

Other practice location 1

2499 Glades Rd Ste 305A
Boca Raton, FL 33431-7202
Phone (561) 486-1449

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND 8105FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lucille Beseler LD Rd PA PastSince Jan 1, 2002 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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1861930349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810172",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334810172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD",
            "address_2": "#105",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-360-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2499 Glades Rd Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334317202",
            "country_code": "US",
            "telephone_number": "561-486-1449",
            "fax_number": "561-258-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 8105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.