Jill Michelle Greer, MS, RD, CNSC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

888122 Issued in CA

Practice address

5776 Ruffin Rd
San Diego, CA 92123-1013

Phone

(858) 292-1144

NPI assigned

Oct 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill Michelle Rand Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1891047940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32377 ALPINE CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924191",
            "telephone_number": "562-810-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 RUFFIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231013",
            "telephone_number": "858-292-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "JILL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "888122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "RAND",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "MS, RD, CNSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April J Greenwood, LVN
• Avery Greenwood
• Vanessa Rose Greenwood, M.D.
• Carolyn T Greer, ATC
• Dianna Fay Greer
• Robert Owen Greer, AS AS BS LVN
• Scott Douglas Greer, M.D.
• Steve Greer
• Greg D. Lewis, M.D., Inc.
• Michelle Nicole Gregg Laine

• Pediatric Nutrition Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.