Provider Demographics
NPI:1447051784
Name:CSUMITTA, JORDYN (RD)
Entity type:Individual
Prefix:
First Name:JORDYN
Middle Name:
Last Name:CSUMITTA
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3079 LANDING LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8154
Mailing Address - Country:US
Mailing Address - Phone:614-202-7496
Mailing Address - Fax:
Practice Address - Street 1:3079 LANDING LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8154
Practice Address - Country:US
Practice Address - Phone:614-202-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered