Jordan Wendolyn Davis, MS, RDN, LDN
NPI 1104657303ActiveIndividual· Dietitian, Registered· Hammond, LA
Dietitian, Registered (MS, RDN, LDN) in Hammond, Louisiana, licensed in LA and MS, with an NPI issued in August 2024. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional and practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1104657303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN, LDN |
| Sole proprietor | No |
| NPI issued | Aug 9, 2024 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 3408 | LA |
| Dietitian, Registered | 133V00000X | D-2466 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (LA); Practitioner - Registered Dietitian Or Nutrition Professional (MS) |
|---|
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