Jessica Koroni, MS, RD, LD, CEDS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86050678 Issued in TX

Practice address

307 W Tremont Ave Ste 200
Charlotte, NC 28203-4902

Phone

(704) 266-0864

NPI assigned

Oct 8, 2015

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1962873562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "704-266-0864",
            "fax_number": "919-386-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "704-266-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORONI",
        "first_name": "JESSICA",
        "credential": "MS, RD, LD, CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86050678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Kormelink, PA-C
• Jason M. Korn, MD
• Racquel Alize Linton Kornegay
• Sherry Seitlin Kornfeld, MED, CCC-SLP
• Brian Patrick Kornrumpf, M.D.
• Athena Markella Kortesis, NURSE PRACTITIONER
• Frank Joseph Kosarek, M.D.
• Payman Kosari, M.D.
• Elizabeth Wren Koscielniak, MD
• Yoshiko Watanabe Kosel, PHARM. D.

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.