Jessica Kozar, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86014147 Issued in VA

Practice address

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985

Phone

(757) 339-3624

Fax

(855) 539-9634

NPI assigned

Nov 29, 2021

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuleeu Nutrition and Wellness, LLCGroup PAC ID 7517206386, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nuleeu Nutrition and Wellness, LLC

  • Registered Dietitian
  • Chesapeake, VA
  • NPI 1922576198

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1891453650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "757-339-3624",
            "fax_number": "855-539-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "757-339-3624",
            "fax_number": "855-539-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAR",
        "first_name": "JESSICA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86014147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nubia Angelina Konopnicki
• Farzad Koosha, DDS
• Nicole Kornbluh, LPC
• Sarah Kough
• Paul Jerome Kovalcik, MD
• KPB Enterprise LLC
• Kyla Kraft, PT
• Alan Paul Krasnoff, D.C.
• Bari Susan Kraus, MSW, LISW, LCSW
• David Krause, M.D.

• Registered Dietitian in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.