MEDICARE: JESSICA RACHEL RORICK MS, RD, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	37002109A	IN

General Provider Information

NPI Number	:	1316823875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA RACHEL RORICK MS, RD, LD

Provider Business Mailing Address
First Line	:	6424 S 500 E
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47909-9173
Country	:	US
Telephone Number	:	260-437-4166
Fax Number	:

Provider Business Practice Location Address
First Line	:	6424 S 500 E
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47909-9173
Country	:	US
Telephone Number	:	260-437-4166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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