Provider Demographics
NPI:1205215068
Name:C JONEZ NUTRITION CONSULTING SERVICES LLC
Entity Type:Organization
Organization Name:C JONEZ NUTRITION CONSULTING SERVICES LLC
Other - Org Name:FOOD JONEZI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS RDN LDN
Authorized Official - Phone:202-800-5351
Mailing Address - Street 1:1140 3RD ST NE FL 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6723
Mailing Address - Country:US
Mailing Address - Phone:202-800-5351
Mailing Address - Fax:202-836-9809
Practice Address - Street 1:1140 3RD ST NE FL 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6723
Practice Address - Country:US
Practice Address - Phone:202-800-5351
Practice Address - Fax:202-836-9809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC133V00000X133V00000X
MDDX3588133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD651024800Medicaid
DC011017978Medicaid