Active NPI
JD Nutrition LLC
- Registered Dietitian
- Colchester, CT
National Provider Identifier
1053819110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- JD NUTRITION LLC
- Practice address
- 214 Lake Hayward Rd
Colchester, CT 06415-1815 - Phone
- (860) 705-4669
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Durand, RD, CDN
- Title
- Owner
- Phone
- (860) 705-4669
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
214 Lake Hayward Rd
Colchester, CT 06415-1815
Mailing address
214 Lake Hayward Rd
Colchester, CT 06415-1815
Phone (860) 705-4669
National Provider Directory
National Provider DirectoryPractitioners & 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": "1516752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1053819110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 LAKE HAYWARD RD",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151815",
"telephone_number": "860-705-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 LAKE HAYWARD RD",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151815",
"telephone_number": "860-705-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JD NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "DURAND",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-705-4669",
"authorized_official_credential": "RD, CDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.