Provider Demographics
NPI:1205615861
Name:TRIGGS, JESSICA ELAINE (RDN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELAINE
Last Name:TRIGGS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 APACHE RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-2218
Mailing Address - Country:US
Mailing Address - Phone:913-638-9042
Mailing Address - Fax:
Practice Address - Street 1:8020 APACHE RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227-2218
Practice Address - Country:US
Practice Address - Phone:913-638-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1482133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered