Individual provider · Type 1 NPI

Jessica Konevitchenko

Pediatric Nutrition Registered Dietitian · Dallas, TX

NPI number 1609784149 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1609784149

Jessica Konevitchenko's National Provider Identifier is 1609784149, issued on Aug 27, 2026. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Dallas, TX. The record was last updated on Aug 27, 2026.