JESSICA ESOCHAGHI ENEKWOGU (NPI# 1073141214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073141214 |
| Entity Type | Individual |
| Full Name | JESSICA ESOCHAGHI ENEKWOGU |
| Credential | RD |
| Practice Address |
6160 Springford Dr Apt D4 Harrisburg PA 17111-6994 |
| Practice Telephone | 9094805413 |
| Mailing Telephone | 9094805413 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
86015246 | MD | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
86015246 | MD | Dietary & Nutritional Service Providers |
| N | 133VN1201X | 86015246 | MD |
| Street Address |
6160 SPRINGFORD DR APT D4 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-6994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508171802 | Leanne Kinzler | Dietitian, Registered | 1208 Oakwood Drive, Jeffeson Hills, PA 15025 | 2010-08-11 |
| 1720303696 | Kate Louise Seymour | Dietitian, Registered | 806 Goucher St, Johnstown, PA 15905-2941 | 2010-04-02 |
| 1972712537 | Ruth Ellen Kruk | Dietitian, Registered | 101 Nathan Dr, Monaca, PA 15061-2547 | 2007-05-21 |
| 1588722490 | Cheryl Disch Lewis | Dietitian, Registered | 1130 Highway 315 Ste B, Wilkes Barre, PA 18702-6952 | 2006-12-04 |
| 1235142167 | Emily Kathleen Ferrare | Dietitian, Registered | 649 E 37th St, Erie, PA 16504-1725 | 2006-08-14 |
| 1841245198 | Angela Daria Sedlacko | Dietitian, Registered | Fmc Medical Services of Greensburg Ckd Services, 562 Shearer St., Greensburg, PA 15601 | 2006-05-24 |
| 1639142250 | Jessica A. Ingram | Dietitian, Registered | 1 Penn Blvd., Suite 2240, Philadelphia, PA 19144 | 2006-02-13 |
| 1134613920 | Amy Lynn Messick | Dietitian, Registered | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2018-06-15 |
| 1750730156 | Brittany Dorothy Lucchetto | Dietitian, Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-06-07 |
| 1285059022 | Tiffany A Donahue | Dietitian, Registered | 3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on JESSICA ESOCHAGHI ENEKWOGU.
| 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.