Provider Demographics
NPI:1487331328
Name:DIABETES DIGITAL CORP
Entity type:Organization
Organization Name:DIABETES DIGITAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:415-572-1444
Mailing Address - Street 1:428 J ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-2331
Mailing Address - Country:US
Mailing Address - Phone:888-393-8520
Mailing Address - Fax:
Practice Address - Street 1:428 J ST FL 4
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-2331
Practice Address - Country:US
Practice Address - Phone:844-572-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty