Active NPI
Jessica Ann Iannotta, RD
- Registered Dietitian
- Monroe, CT
National Provider Identifier
1164043915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001665
- Practice address
- 324 Elm St Ste 203a
Monroe, CT 06468-2282 - Phone
- (646) 247-8589
- NPI assigned
- May 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 001665 | CT | |
| Registered Dietitian | 133V00000X | 001665 | CT | Primary |
Addresses
Primary practice location
324 Elm St Ste 203a
Monroe, CT 06468-2282
Mailing address
99 Settlers Farm Rd
Monroe, CT 06468-3324
Phone (646) 247-8589
Other practice location 1
300 Orchard St Rm E2100
New Haven, CT 06511-4412
Phone (203) 785-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001665 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1164043915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 SETTLERS FARM RD",
"city": "MONROE",
"state": "CT",
"postal_code": "064683324",
"telephone_number": "646-247-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ELM ST STE 203A",
"city": "MONROE",
"state": "CT",
"postal_code": "064682282",
"telephone_number": "646-247-8589"
}
],
"practiceLocations": [
{
"address_1": "300 Orchard St Rm E2100",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065114412",
"country_code": "US",
"telephone_number": "203-785-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IANNOTTA",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "CT",
"license": "001665",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.