Jessica Grace Anderson, MS,RD,CSSD,LD,EPC
NPI 1053975987ActiveIndividual· Nutritionist· Fort Bragg, NC
Nutritionist (MS,RD,CSSD,LD,EPC) in Fort Bragg, North Carolina, licensed in NC and OH, with an NPI issued in April 2019.
Overview
| NPI | 1053975987 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,RD,CSSD,LD,EPC |
| Sole proprietor | No |
| NPI issued | Apr 25, 2019 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | L007668 | NC |
| Nutritionist | 133N00000X | 08619 | OH |
| Dietitian, Registered | 133V00000X | LD.08619 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|