Active NPI
Jessica Michelle Cannon, MS, RDN, LDN
- Registered Dietitian
- Lancaster, PA
National Provider Identifier
1871224840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006295
- Practice address
- 554 W King St Ste 109
Lancaster, PA 17603-3661 - Phone
- (717) 208-2368
- NPI assigned
- Jun 21, 2022
- Last updated
- May 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | DN006295 | PA | Primary |
Addresses
Primary practice location
554 W King St Ste 109
Lancaster, PA 17603-3661
Mailing address
618 1St St
Lancaster, PA 17603-3622
Phone (610) 331-2671
Other practice location 1
618 1st St
Lancaster, PA 17603-3622
Phone (610) 331-2671
Other names 1
- Jessica Michelle Kelly
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN006295 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition That Heals | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1871224840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 1ST ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033622",
"telephone_number": "610-331-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 W KING ST STE 109",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033661",
"telephone_number": "717-208-2368"
}
],
"practiceLocations": [
{
"address_1": "618 1st St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176033622",
"country_code": "US",
"telephone_number": "610-331-2671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "JESSICA",
"middle_name": "MICHELLE",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "KELLY",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.