Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Susan Butler, RDN, LD

Individual provider Registered Dietitian · NPI 1083577886

Jessica Susan Butler, RDN, LD is a Registered Dietitian in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-2097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37003025A (IN)

Record details

NPI number1083577886
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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