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GREAT LAKES NUTRITION
NPI 1669234381
Dietitian, Registered in Erie, PA

Active since January 29, 2024
3910 CAUGHEY RD STE 200, ERIE, PA 16506(814) 580-8808 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Nutrition NPPES

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

GREAT LAKES NUTRITION (NPI 1669234381) is a healthcare organization registered as a dietitian, registered in Erie, Pennsylvania and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Erie and lists Jessica Elaine Lake, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1669234381
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameJESSY BRINLING NUTRITION LLC
Location Address3910 CAUGHEY RD STE 200Erie, PA 16506-4098
Mailing Address3910 Caughey Rd Ste 200Erie, PA 16506-4098 · (814) 580-8808
Phone(814) 580-8808
Organization SubpartNo
Authorized OfficialJessica Elaine LakeRegistered Dietitian · (814) 580-8808
Enumeration DateJanuary 29, 2024
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1669234381 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.
3910 CAUGHEY RD STE 200, Erie, PA 16506
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Other Names 1

Doing Business AsGreat Lakes Nutrition

Secondary Practice Location 1

Location 19345 Lake Pleasant RdErie, PA 16509-5755 · Phone (814) 460-8568

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Nutrition is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Nutrition, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Brinling, MS, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1154910214
3910 CAUGHEY RD STE 200
Erie, PA 16506
(814) 580-8808
Same address

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

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 Jessy Brinling Nutrition LLC's NPI number?

The NPI number for Jessy Brinling Nutrition LLC is 1669234381. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Great Lakes Nutrition.

Where is Jessy Brinling Nutrition LLC located?

Jessy Brinling Nutrition LLC is located at 3910 Caughey Rd Ste 200, Erie, PA 16506. The listed phone number is (814) 580-8808.

What is Jessy Brinling Nutrition LLC's specialty?

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

Is Jessy Brinling Nutrition LLC enrolled in Medicare?

Yes. Jessy Brinling Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jessy Brinling Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Jessy Brinling Nutrition LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jessy Brinling Nutrition LLC was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.