Organization Active NPI

Jessi Haggerty LLC

  • Registered Dietitian
  • Salem, MA
National Provider Identifier
1043967920
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JESSI HAGGERTY LLC
Practice address
55 Perkins St
Salem, MA 01970-5538
Phone
(516) 410-3723
Fax
(617) 207-4357
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Haggerty, RDNNPI 1932639333
Title
Owner
Phone
(516) 410-3723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

55 Perkins St
Salem, MA 01970-5538

Mailing address

55 Perkins St
Salem, MA 01970-5538
Phone (516) 410-3723

Other names 2

  • Well & Fed Doing business as
  • Jessi Haggerty Nutrition & Movement Therapy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1043967920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PERKINS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705538",
            "telephone_number": "516-410-3723",
            "fax_number": "617-207-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PERKINS ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705538",
            "telephone_number": "516-410-3723",
            "fax_number": "617-207-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSI HAGGERTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-410-3723",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well & Fed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jessi Haggerty Nutrition & Movement Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.