Individual ProviderJamilah F BugayongDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address110 Irving St NW, Washington, DC 20010-3017(202) 877-7000PECOS EnrollmentBased on the most recent information from CMS, provider Jamilah F Bugayong 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 ID1528533080Provider TypeIndividualFull NameBugayong, Jamilah FTitleMs.CredentialRDN, LDNGenderFemaleSole ProprietorNoEnumeration Date10/10/2018Last Updated6/8/2023Contact InformationPractice LocationPractice Address110 Irving St NW, Washington, DC 20010-3017Phone(202) 877-7000FaxUnlisted FaxMailing LocationMailing Address110 Irving St NW, Washington, DC 20010-3017Phone(202) 877-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense86072642IllinoisCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDX4539Maryland