Jessica Carder, RDN, LD, IBCLC
Dietitian, Registered in Indianapolis, IN. Individual provider (NPI-1).
NPI number1124650965
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1124650965
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Carder
- Credential
- RDN, LD, IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 37002556A | IN | Yes |
| 133V00000X | Dietitian, Registered | LD.7856 | OH |
Practice location
705 Riley Hospital DrIndianapolis, IN 46202-5109
Phone 317-948-8712
Mailing address
705 Riley Hospital DrIndianapolis, IN 46202-5109
Phone 317-948-8712
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.
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