Active NPI
Jessica Lyn Glosson, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1972136398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- ND8145
- Practice address
- 2771 Monument Rd Ste 33
Jacksonville, FL 32225-3524 - Phone
- (904) 450-6090
- NPI assigned
- Feb 13, 2020
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | ND8145 | FL | Primary |
Addresses
Primary practice location
2771 Monument Rd Ste 33
Jacksonville, FL 32225-3524
Mailing address
2771 Monument Rd Ste 33
Jacksonville, FL 32225-3524
Phone (904) 450-6090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86068054 | Other | CDR REGISTRATION ID NUMBER | |
| ND8145 | Other | FL | FLORIDA RDN LICENSE NO. |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.glosson@ascension.org |
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
Interoperability endpoints
- jessica.glosson@168064768409604.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1972136398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 MONUMENT RD STE 33",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253524",
"telephone_number": "904-450-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 MONUMENT RD STE 33",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253524",
"telephone_number": "904-450-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSSON",
"first_name": "JESSICA",
"middle_name": "LYN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "FL",
"license": "ND8145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION ID NUMBER",
"identifier": "86068054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA RDN LICENSE NO.",
"identifier": "ND8145",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.glosson@ascension.org",
"affiliation": "N",
"address_1": "4203 Belfort Rd Ste 250",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322161416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.