Jessica Rose Dietrich
NPI 1205502580ActiveIndividual· Dietitian, Registered· Eugene, OR
Dietitian, Registered in Eugene, Oregon, licensed in OR, TX and WA, with an NPI issued in August 2021.
Overview
| NPI | 1205502580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2021 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LD-D10209815 | OR |
| Dietitian, Registered | 133V00000X | DT89050 | TX |
| Dietitian, Registered | 133V00000X | DI61023969 | WA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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