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JESSICA WILSON
NPI 1164086617
Dietitian, Registered in Hewlett, NY

Active since April 30, 2019
1200 W BROADWAY UNIT 2, HEWLETT, NY 11557(209) 405-0455 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Jessica Wilson NPPES

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

JESSICA WILSON (NPI 1164086617) is an individual dietitian, registered in Hewlett, New York and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1164086617
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA WILSON
Location Address1200 W BROADWAY UNIT 2Hewlett, NY 11557-1913
Mailing Address3215 53rd PlWoodside, NY 11377-1925 · (209) 405-0455
Phone(209) 405-0455
Sole ProprietorYes
Enumeration DateApril 30, 2019
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedNovember 27, 2020
✔ NPI 1164086617 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.
1200 W BROADWAY UNIT 2, Hewlett, NY 11557
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Other Providers at the Same Location NPPES

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

MRS. VICTORIA CAROL SILVERMAN OTR/L
Occupational Therapist
1200 W BROADWAY UNIT 2
HEWLETT, NY 11557
Nassau County (516) 633-3262

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 Wilson's NPI number?

The NPI number for Jessica Wilson is 1164086617. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Jessica Wilson located?

Jessica Wilson practices at 1200 W Broadway Unit 2, Hewlett, NY 11557. The listed phone number is (209) 405-0455.

What is Jessica Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.