Active NPI
Jamie Marissa Dannenberg, MS, RD, LDN
- Registered Dietitian
- Framingham, MA
National Provider Identifier
1053895763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4267
- Practice address
- 5 Edgell Rd Ste 39
Framingham, MA 01701-4868 - Phone
- (617) 332-2282
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4267 | MA | Primary |
Addresses
Primary practice location
5 Edgell Rd Ste 39
Framingham, MA 01701-4868
Mailing address
1400 Centre St
Newton, MA 02459-2454
Phone (617) 332-2282
Other practice location 1
1400 Centre St Ste 207
Newton, MA 02459-2415
Phone (617) 332-2282 ext. 113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4267 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrowest Nutrition and Therapy | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1053895763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592454",
"telephone_number": "617-332-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EDGELL RD STE 39",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017014868",
"telephone_number": "617-332-2282"
}
],
"practiceLocations": [
{
"address_1": "1400 Centre St Ste 207",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024592415",
"country_code": "US",
"telephone_number": "617-332-2282 x113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANNENBERG",
"first_name": "JAMIE",
"middle_name": "MARISSA",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.