Active NPI
Sherma Jack-Brisseau, NUTRI
- Nutritionist
- Suitland, MD
National Provider Identifier
1952448466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- N00207
- Practice address
- 5100 Auth Way
Suitland, MD 20746-4207 - Phone
- (301) 702-5250
- Fax
- (301) 702-5262
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | N00207 | MD | Primary |
Addresses
Primary practice location
5100 Auth Way
Suitland, MD 20746-4207
Mailing address
2101 East Jefferson St
Kaiser Permanente
Rockville, MD 20852-4908
Phone (301) 816-7446
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952448466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON ST",
"address_2": "KAISER PERMANENTE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-7446",
"fax_number": "301-816-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 AUTH WAY",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207464207",
"telephone_number": "301-702-5250",
"fax_number": "301-702-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACK-BRISSEAU",
"first_name": "SHERMA",
"name_prefix": "Ms.",
"credential": "NUTRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "N00207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suitland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.