Organization Active NPI

Dietitian Jess Nutrition

  • Registered Dietitian
  • Glenshaw, PA
National Provider Identifier
1972363182
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.