Individual provider Active NPI

Jennifer Levine, MS, RD, CDN, CDCES

  • Registered Dietitian
  • Morristown, NJ
National Provider Identifier
1942712682
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86007769
Practice address
435 South St Ste 350
Morristown, NJ 07960-6474
Phone
(973) 971-6700
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 86007769 Primary

Addresses

Primary practice location

435 South St Ste 350
Morristown, NJ 07960-6474

Mailing address

435 South St Ste 350
Morristown, NJ 07960-6474
Phone (973) 971-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428002789 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476936204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Jul 1, 2023 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

515 S Flower St
#1015
Los Angeles, CA 90071

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1806 Highway 35
Ste 203A
Oakhurst, NJ 07755

10260 SW Greenburg Rd
Fl 44
Portland, OR 97223

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1942712682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 350",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606474",
            "telephone_number": "973-971-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 350",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606474",
            "telephone_number": "973-971-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86007769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.