NPIMap

Individual provider Active NPI

Jessica Marie Berglund, RD, LDN

  • Registered Dietitian
  • Reading, PA
National Provider Identifier
1952744815
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1030122 Issued in PA
Practice address
640 Walnut St
1St Floor- Diabetes Management Services
Reading, PA 19601-3504
Phone
(610) 378-2031
Fax
(610) 378-2543
NPI assigned
Apr 10, 2013
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN004742 PA
Registered Dietitian 133V00000X 1030122 PA Primary

Addresses

Primary practice location

640 Walnut St
1St Floor- Diabetes Management Services
Reading, PA 19601-3504

Mailing address

640 Walnut St
1St Floor- Diabetes Management Services
Reading, PA 19601-3504
Phone (610) 378-2031

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

State licenses

LicenseStateTypeSpecialty
DN004742PAMDNutritionist
1030122PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Regional Health Network Dietitian, Registered Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
No Diet Dietitian, LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1952744815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WALNUT ST",
            "address_2": "1ST FLOOR- DIABETES MANAGEMENT SERVICES",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013504",
            "telephone_number": "610-378-2031",
            "fax_number": "610-378-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WALNUT ST",
            "address_2": "1ST FLOOR- DIABETES MANAGEMENT SERVICES",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013504",
            "telephone_number": "610-378-2031",
            "fax_number": "610-378-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN004742",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "1030122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.