Individual provider Active NPI

Jessica Burleson Whatley, MS, RD, LD

  • Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1972167195
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3020 Issued in AL
Practice address
5129 Meadow Brook Rd
Birmingham, AL 35242-3233
Phone
(205) 495-8828
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3020 AL Primary

Addresses

Primary practice location

5129 Meadow Brook Rd
Birmingham, AL 35242-3233

Mailing address

5129 Meadow Brook Rd
Birmingham, AL 35242-3233
Phone (205) 495-8828

Other practice location 1

5101 Cyrus Cir
Birmingham, AL 35242-4631
Phone (888) 822-8938

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)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Nutrition Counseling Dietitian, Registered CurrentSince Sep 25, 2022 Accepting new patients
Highlands Treatment Center,LLC PastSince Jun 14, 2020 Accepting new patients
Nourish, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1972167195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 MEADOW BROOK RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423233",
            "telephone_number": "205-495-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 MEADOW BROOK RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423233",
            "telephone_number": "205-495-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Cyrus Cir",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424631",
            "country_code": "US",
            "telephone_number": "888-822-8938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "JESSICA",
        "middle_name": "BURLESON",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.