Individual provider Active NPI

Jessica Bosworth, RD, LDN

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1932959129
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN008468 Issued in PA
Practice address
2 Logan SQ Ste 300
Philadelphia, PA 19103-2733
Phone
(267) 566-9249
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 DN008468 PA Primary

Addresses

Primary practice location

2 Logan SQ Ste 300
Philadelphia, PA 19103-2733

Mailing address

1515 Latona St
Philadelphia, PA 19146-3126
Phone (267) 566-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411002638 PA Practitioner - Registered Dietitian Or Nutrition Professional 2062851983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Food NutritionGroup PAC ID 9739500505, 5 clinicians

Practice addresses (Care Compare)

150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (800) 203-8657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN008468PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Food Nutrition Dietitian, Registered CurrentSince Apr 1, 2024 Accepting new patients
Hleap Nutrition Dietitian, Registered Past Accepting new patients

Locations

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1932959129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LATONA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463126",
            "telephone_number": "267-566-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOGAN SQ STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032733",
            "telephone_number": "267-566-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "JESSICA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.