MRS. JESSICA LYN DITOMMASO (MS, RD, LD) – Registered Dietitian, NPI 1336381086

MRS. JESSICA LYN DITOMMASO (MS, RD, LD) is a healthcare provider. based in Middletown, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD, LD. They hold a License No. LD.5739 (OH). The NPI Number for MRS. JESSICA LYN DITOMMASO (MS, RD, LD) is 1336381086

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA LYN DITOMMASO (MS, RD, LD)
NPI
1336381086
Phone
(513) 424-2535
Address
200 N Breiel Blvd
Enumeration Date
26 March 2009
Last Update Date
3 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138623452
Graduation Year
2005 (21 years ago)
PAC ID
2466501796
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20090516000001
Address ID
OH452202475CI375XXAVEX390
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

Provider Addresses for MRS. JESSICA LYN DITOMMASO (MS, RD, LD)

  • 200 N Breiel Blvd

    Middletown, OH 450423808

    Phone: (513) 424-2535

    Fax: (513) 424-0363

    Type: Location

  • 3170 KETTERING BLVD FL BLVD3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 6010 S MASON MONTGOMERY RD

    MASON, OH 450403706

    Phone: (513) 246-1900

    Type: Mailing

  • 7675 Wellness Way

    West Chester, OH 450692509

    Phone: (513) 475-7400

    Fax: (513) 475-8201

    Type: Location

  • North Breiel Boulevard, Middletown, Butler County, Ohio, 45042, United States

    MIDDLETOWN, OH 450423808

    Phone: (513) 424-2535

    Fax: (513) 424-0363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090516000001IRegistered Dietitian Or Nutrition ProfessionalOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97802Therapy procedure for nutrition management, each 15 minutes12732$0
97803Therapy procedure reassessment for nutrition management, each 15 minutes8920$0
View full utilization report →

Insurance plans in this area (ZIP 45042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Can I verify MRS. JESSICA LYN DITOMMASO (MS, RD, LD) with an NPI only?
You can start verification with NPI 1336381086 for MRS. JESSICA LYN DITOMMASO (MS, RD, LD), then check state licensing separately.
Is MRS. JESSICA LYN DITOMMASO (MS, RD, LD) still practicing?
MRS. JESSICA LYN DITOMMASO (MS, RD, LD) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. JESSICA LYN DITOMMASO (MS, RD, LD)?
For research purposes, treat MRS. JESSICA LYN DITOMMASO (MS, RD, LD) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. JESSICA LYN DITOMMASO (MS, RD, LD) based?
MRS. JESSICA LYN DITOMMASO (MS, RD, LD) is tied to Middletown, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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