Courtney Jacqueline Cayer, RD

Individual provider Active NPI Registered Dietitian · Ipswich, MA

NPI 1124607668 · NPPES record last updated Apr 2, 2021

Key facts

NPI
1124607668
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86145617 (MA)
Practice address
2 Cayer Way
Ipswich, MA 01938-1082
Phone
(781) 835-5429
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86145617MAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 86145617 MA Yes

Addresses

Primary practice location

2 Cayer Way
Ipswich, MA 01938-1082

Mailing address

2 Cayer Way
Ipswich, MA 01938-1082

Other providers in Ipswich, MA

All providers in Ipswich, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.