Active NPI
Jean Green
- Registered Dietitian
- Shrewsbury, MA
National Provider Identifier
1164593224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 843
- Legal business name
- JEAN GREEN
- Practice address
- 588 Main St
Shrewsbury, MA 01545-2920 - Phone
- (509) 393-1920
- NPI assigned
- Nov 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Green
- Title
- Owner
- Phone
- (508) 393-1920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 843 | MA | Primary |
Addresses
Primary practice location
588 Main St
Shrewsbury, MA 01545-2920
Mailing address
50 Cherry St
Northborough, MA 01532-1209
Phone (508) 393-1920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD0054 | Other | MA | BLUECROSS BLUESHIELD ID |
| 39221 | Other | MA | HARVARD PILGRIM ID |
| 725391 | Other | MA | TUFTS PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
1 Meeting House Rd
Ste 16
Chelmsford, MA 01824
Phone 9782561288205
588 Main St
Shrewsbury, MA 01545
Phone (310) 880-8889
4 Bellows Rd
Westborough, MA 01581
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Chelsmford, MA
- NPI 1114113917
-
- Clinical Psychologist
- Chelmsford, MA
- NPI 1801993423
-
- Clinical Psychologist
- Exeter, NH
- NPI 1851468649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1164593224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CHERRY ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321209",
"telephone_number": "508-393-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 MAIN ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452920",
"telephone_number": "509-393-1920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN GREEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-12",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-393-1920"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD ID",
"identifier": "LD0054",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID",
"identifier": "39221",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER ID",
"identifier": "725391",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.