Jessica Lauren Thongparn, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

957503 Issued in CT

Practice address

204 New Haven Ave Unit 8C
Derby, CT 06418-2150

Phone

(860) 806-5013

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speare Memorial Hospital

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Plymouth, NH
  • NPI 1093578197
  Medicare reassignment NPD
• Speare Memorial Hospital

  • Specialist
  • Plymouth, NH
  • NPI 1235163585
  Medicare reassignment NPD
• Speare Memorial Hospital

  dba Speare Hospitalist Program

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047
  Medicare reassignment NPD
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376
  Medicare reassignment NPD
• Speare Memorial Hospital

  dba Speare Hospital at Meredith

  • Family Medicine Physician
  • Meredith, NH
  • NPI 1669161659
  NPD
• Speare Memorial Hospital

  • Rural Health Clinic/Center
  • Plymouth, NH
  • NPI 1841342540
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1093305674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NEW HAVEN AVE UNIT 8C",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182150",
            "telephone_number": "860-806-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NEW HAVEN AVE UNIT 8C",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182150",
            "telephone_number": "860-806-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONGPARN",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "957503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Griffin Hospital
• Mark A Thimineur, MD
• Sudha Thiruvengadam, MD
• Olivia Thomas, PA-C
• Robert Thompson, P.T.
• Michael William Tichy, D.M.D.
• Amy Tinney, LCSW
• Joanna Torres
• Nicholas John Totalo Jr., DDS
• Twin Peaks Counseling, LLC

• Registered Dietitian in Derby, CT
• Providers in Derby, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.