Active NPI
Dietitian Jess Nutrition
- Registered Dietitian
- Glenshaw, PA
National Provider Identifier
1972363182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DIETITIAN JESS NUTRITION
- Practice address
- 213 Holly Ridge Dr
Glenshaw, PA 15116-2361 - Phone
- (412) 860-7627
- Fax
- (412) 202-1974
- NPI assigned
- Mar 22, 2024
- Last updated
- Mar 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Degore, RD
- Title
- Owner
- Phone
- (412) 860-7627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
213 Holly Ridge Dr
Glenshaw, PA 15116-2361
Mailing address
213 Holly Ridge Dr
Glenshaw, PA 15116-2361
Phone (412) 860-7627
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1972363182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 HOLLY RIDGE DR",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162361",
"telephone_number": "412-860-7627",
"fax_number": "412-202-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 HOLLY RIDGE DR",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162361",
"telephone_number": "412-860-7627",
"fax_number": "412-202-1974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIETITIAN JESS NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "DEGORE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-860-7627",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.