Jane Frances Polley, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN1011 Issued in MA

Practice address

203 Oak St
Longfellow Sports Club
Natick, MA 01760-1306

Phone

(508) 653-4633

Fax

(508) 650-4986

NPI assigned

Nov 20, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sudbury Racquet Club IncGroup PAC ID 9234229253, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sudbury Racquet Club Inc.

  • Registered Dietitian
  • Wayland, MA
  • NPI 1003981903

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Natick Sports and Racquet Club

  • Registered Dietitian
  • Natick, MA
  • NPI 1972677326
  Medicare reassignment Authorized official
• Longfellow Wellesley THC, LLC

  • Registered Dietitian
  • Wellesley, MA
  • NPI 1124860333

  Dietitian, Registered

  NPD Authorized official
• Rebound Physical Therapy LLC

  • Occupational Medicine Clinic/Center
  • Wellesley, MA
  • NPI 1447566310
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124192505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NAHANTON ST",
            "address_2": "BOX 106",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592954",
            "telephone_number": "508-641-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "address_2": "LONGFELLOW SPORTS CLUB",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-653-4633",
            "fax_number": "508-650-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "JANE",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5582051",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "39412",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "763282",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LD0004",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6300209",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deborah J Pope-Lance, LMFT
• Catherine Porcello
• Elex Portell

• Registered Dietitian in Natick, MA
• Providers in Natick, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.