JESSICA M BURGESS (NPI# 1063050540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063050540 |
| Entity Type | Individual |
| Full Name | JESSICA M BURGESS |
| Credential | RD |
| Practice Address |
15 N Morris St Portland OR 97227-1541 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5032309875 |
| Practice Fax Number | 5032309877 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DI60909406 | WA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | LD-D-10194800 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12360 E Burnside St, Portland, OR 972331042 | 9712794800 | 9712792051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774169 | Jessica Burgess | Dietitian, Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2017-11-17 |
| 1104115104 | Jessica Brooke Burgess | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2011-03-31 |
| 1730310095 | Jessica Burgess | Technician, Other | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2009-08-05 |
| 1609019314 | Jessica Robin Burgess | Surgery | 825 Fairfax Ave, Suite 610, Norfolk, VA 23507-1914 | 2009-04-10 |
| Street Address |
15 N MORRIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174915 | Joanne Rosalyn Claire Richardson-tollerton | Family Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2005-06-14 |
| 1194292011 | Brennan J Crowe | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2018-10-29 |
| 1295225308 | Angel N Two Bulls | Counselor | 15 N Morris St, Portland, OR 97227 | 2018-05-14 |
| 1851808604 | Laurie A Rieschel | Counselor | 15 N Morris St, Portland, OR 97227-1541 | 2018-01-02 |
| 1720528037 | Kellen J Kjera | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-03-06 |
| 1578000576 | Francis A Tootell | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-27 |
| 1265979918 | Dino Brozan | Registered Nurse | 15 N Morris St, Portland, OR 97227-1541 | 2017-01-19 |
| 1528514882 | Mark A Seiffert | Pharmacist | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| 1912453275 | Catherine A Fry | Pharmacy Technician | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-28 |
| 1568916112 | Leah K Gregory | Counselor | 15 N Morris St, Portland, OR 97227-1541 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1558973370 | Kianna Aumiller | Dietitian, Registered | 2167 Sw Yamhill St, Portland, OR 97205-1417 | 2020-08-21 |
| 1255943189 | Lisa Gilmore | Dietitian, Registered | 5214 Sw View Point Ter, Portland, OR 97239-3940 | 2020-08-21 |
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1770192353 | Jenice A Powell | Dietitian, Registered | 104 Se 30th Pl, Portland, OR 97214-1915 | 2020-07-29 |
| 1386253698 | Margaret Senic | Dietitian, Registered | 1745 Sw Huntington Ave, Portland, OR 97225-4751 | 2020-07-23 |
| 1881212272 | Emily Ryder | Dietitian, Registered | 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 | 2020-07-11 |
| 1427686211 | Veena M Manohar | Dietitian, Registered | 1308 Ne Dekum St, Portland, OR 97211-4180 | 2020-03-29 |
| 1841825056 | Allison Leigh Williams | Dietitian, Registered | 7106 Se Raymond Ct, Portland, OR 97206-4439 | 2020-03-08 |
| 1114557782 | House Nine LLC | Dietitian, Registered | 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 | 2020-01-22 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on JESSICA M BURGESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.