Jillian Fink, RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86093523 Issued in PA

Practice address

50 N Malin Rd
Broomall, PA 19008-1498

Phone

(610) 356-0800

NPI assigned

May 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jillian.fink@hcsgcorp.com

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1992327225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HIGH ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603215",
            "telephone_number": "267-347-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MALIN RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081498",
            "telephone_number": "610-356-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "JILLIAN",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86093523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jillian.fink@hcsgcorp.com",
            "affiliation": "N",
            "address_1": "50 N Malin Rd",
            "city": "Broomall",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190081498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Evans-Harkins, PTA
• Symone Evans
• Michael Ezekowitz, MD
• Joshua B Feinberg, DO
• De'Asiah Cabrela Mercedes Fields, BEHAVIOR TECHNICIAN
• Timothy Paul Fitzpatrick Jr.
• Michelle Fleming, CRNP
• Joann A Flounders, CRNP
• James J. Flowers, D.O.
• Tiarah Fluellen

• Registered Dietitian in Broomall, PA
• Providers in Broomall, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.