Jessica Lynn Bennett, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80765 Issued in TX

Practice address

17227 Lafayette Hollow LN
Humble, TX 77346-2281

Phone

(713) 614-1559

NPI assigned

May 13, 2009

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Lynn Diaz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1962636308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17227 LAFAYETTE HOLLOW LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462281",
            "telephone_number": "713-614-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17227 LAFAYETTE HOLLOW LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462281",
            "telephone_number": "713-614-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DIAZ",
            "middle_name": "LYNN",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bene Health and Wellness Clinic, PLLC
• Mary Benedict, OT
• Lori Ellen Benham, N.P.
• Autumn Benjamin
• Labryant Benjamin, LPC-S
• Kimberly Bennett, BS
• Dougals Bentley, CSSP
• Lisa L. Bergamini, PTA
• Berkeley Eye Institute, PLLC (Berkeley Eye Center)
• Rykia Bernard

• Registered Dietitian in Humble, TX
• Providers in Humble, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.