JACQUELYN BEDWELL


Address: Mg886a.4 Dthc Corridor # 8, 5801 Army Pentagon, Washington, DC 20310-5801
Phone: 7036928891

JACQUELYN BEDWELL (NPI# 1548206147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548206147
Entity Type Individual
Full Name JACQUELYN BEDWELL
Credential RD
Practice Address Mg886a.4 Dthc Corridor # 8
5801 Army Pentagon
Washington
DC 20310-5801
Mailing Address 3501 Chesterbrook Ct
Apt 618
Richmond
VA 23233-1296
Practice Telephone 7036928891
Mailing Telephone 8043873200
Enumeration Date 2006-06-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DX2605 MD Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CDR 931718 01
MD LDN DX2605 01

Office Location

Street Address MG886A.4 DTHC CORRIDOR # 8
5801 ARMY PENTAGON
City WASHINGTON
State DC
Zip Code 20310-5801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124668488 Deborah L Brimmer Dental Hygienist 5801 Defense Pentagon, Washington, DC 20310 2020-01-14
1174922645 Maria Zumer Physician Assistant 5801 Army Pentagon, Washington, DC 20310 2014-08-20
1104269398 Anthony Jason Belotto Psychiatry & Neurology 50 Irving Street, Washington, DC 20310 2013-04-08
1639231632 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1861554867 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1952463952 Wramc Military/U.S. Coast Guard Pharmacy 1501 Defense Pentagon, Washington, DC 20310 2006-12-15
1538712369 Genesis Webb Nurse Practitioner 50 Irving St Northwest, Washington, DC 20310-0001 2019-07-21
1912359548 Jessica Lee Nash Military Health Care Provider 5811 Army Pentagon # 8, Washington, DC 20310-0001 2016-07-07
1790030898 Robin C Neal Dentist Pentagon Tri Service Dental, 5802 Army Pentagon, Washington, DC 20310-0001 2012-07-16
1720312093 Jamie Belcastro Pharmacist 5801 Defence Pentagon, Washington, DC 20310-0001 2009-09-19
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

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1295372654 Hannah Byrne Dietitian, Registered 824 Constitution Ave Ne, Washington, DC 20002-6004 2019-12-04
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Competitor

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City WASHINGTON
Zip Code 20310

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Dataset Information

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.

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