Active NPI
Jane Lynn Sylvestre, DCN, RDN, CSOWM, LDN
- Registered Dietitian
- Bridgton, ME
National Provider Identifier
1073773883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2718
- Practice address
- 4 Trailside Way
Bridgton, ME 04009 - Phone
- (401) 286-2015
- NPI assigned
- Jun 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2718 | MA | Primary |
Addresses
Primary practice location
4 Trailside Way
Bridgton, ME 04009
Mailing address
PO Box 1026
Bridgton, ME 04009-1026
Phone (401) 286-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2718 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group of Massachusetts Inc | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
Interoperability endpoints
- jane.sylvestre.1@2017.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
Dietitian, Registered
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1346942133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1073773883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040091026",
"telephone_number": "401-286-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TRAILSIDE WAY",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "04009",
"telephone_number": "401-286-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYLVESTRE",
"first_name": "JANE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "DCN, RDN, CSOWM, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-15",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.