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Jennifer Lynn Gassman, MS,RD,LDN

Dietitian, Registered in Freeport, IL. Individual provider (NPI-1).

NPI number1043401656
StatusActive
Last updated in NPPESAug 8, 2007

Details

NPI
1043401656
Entity type
Individual (NPI-1)
Name
Jennifer Lynn Gassman
Credential
MS,RD,LDN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2007
Last updated
Aug 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.003182ILYes

Practice location

1045 W Stephenson St
3015-Nutrition Education Office
Freeport, IL 61032-4864

Phone 815-599-6549

Mailing address

1045 W Stephenson St
3015-Nutrition Education Office
Freeport, IL 61032-4864

Phone 815-599-6549

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Dietitian providers in Freeport, IL

All 8 Registered Dietitian providers in Freeport · All 658 providers in Freeport

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