Jennifer Chadbourne, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0734 Issued in NH

Practice address

15 Rye St
Suite 305
Portsmouth, NH 03801-6829

Phone

(888) 320-1776

Fax

(617) 371-2950

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1063808756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "STE 305",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016846",
            "telephone_number": "888-320-1776",
            "fax_number": "617-507-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "SUITE 305",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829",
            "telephone_number": "888-320-1776",
            "fax_number": "617-371-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADBOURNE",
        "first_name": "JENNIFER",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0734",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3686",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Anthony Celio
• Center for Functional Medicine & Wellbeing LLC
• Ryan Chaar, BA
• Erin Chabot
• Richard Chace, M.D.
• Mark A Chag, M.D.
• Satyaki Chakrabarty, MD
• Diane Theresa Champlin, LPN
• Nancy K Charest, AUD
• Molly Beth Chartier, M.D.

• Registered Dietitian in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.