1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Dietitian Registered
  6. NPI Profile

JESSICA L FENTRESS RD
NPI 1013649128
Dietitian, Registered in Richmond, VA

Active since June 28, 2022
4110 FITZHUGH AVE, RICHMOND, VA 23230(757) 710-9210 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica L Fentress Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA L FENTRESS RD (NPI 1013649128) is an individual dietitian, registered in Richmond, Virginia and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1013649128
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA L FENTRESSCredential: RD
Location Address4110 FITZHUGH AVERichmond, VA 23230-3827
Mailing Address11 S 18th St Apt 201Richmond, VA 23223-6900 · (615) 574-8993
Phone(757) 710-9210
Sole ProprietorYes
Enumeration DateJune 28, 2022
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1013649128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4110 FITZHUGH AVE, Richmond, VA 23230
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica L Fentress Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jessica Fentress reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
92 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROTHERS KEEPER INC
Community/Behavioral Health
4110 FITZHUGH AVE
RICHMOND, VA 23230
Henrico County (804) 353-3585
ROSA A VASQUEZ MT
Massage Therapist
4110 FITZHUGH AVE
RICHMOND, VA 23230
Henrico County (804) 307-5767
BROTHERS' KEEPER INC.
Day Training, Developmentally Disabled Services
4110 FITZHUGH AVE
RICHMOND, VA 23230
Henrico County (804) 353-3585
ENRICH YOUR HEALTH LLC
Massage Therapist
4110 FITZHUGH AVE
RICHMOND, VA 23230
Henrico County (804) 380-1316
DARIAN CARTER MS, RDN
Dietitian, Registered
4110 FITZHUGH AVE
RICHMOND, VA 23230
Henrico County (434) 610-3797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fentress's NPI number?

The NPI number for Jessica Fentress is 1013649128. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Jessica Fentress located?

Jessica Fentress practices at 4110 Fitzhugh Ave, Richmond, VA 23230. The listed phone number is (757) 710-9210.

What is Jessica Fentress's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jessica Fentress enrolled in Medicare?

Yes. Jessica Fentress is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Fentress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fentress reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Fentress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Fentress was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.