Individual ProviderJessica Ann SargoodDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(202) 476-5649PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Ann Sargood does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407027113Provider TypeIndividualFull NameSargood, Jessica AnnTitleMs.CredentialR.D., L.D.GenderFemaleSole ProprietorYesEnumeration Date3/20/2008Last Updated12/5/2008Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-5649FaxUnlisted FaxMailing LocationMailing Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(202) 476-5649FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDI100000328District of ColumbiaCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseLD.6138Ohio