Active NPI
Jean Louise Klepacki, RD, LDN, CDE
- Registered Dietitian
- Easthampton, MA
National Provider Identifier
1164696159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1206
- Practice address
- 247 Northampton St
Suite 8
Easthampton, MA 01027-1051 - Phone
- (413) 527-7676
- Fax
- (413) 527-2144
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2091-0221 | MA | |
| Registered Dietitian | 133V00000X | 1206 | MA | Primary |
Addresses
Primary practice location
247 Northampton St
Suite 8
Easthampton, MA 01027-1051
Mailing address
P.O. Box 604
Hadley, MA 01035
Phone (413) 586-7740
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 |
|---|---|---|---|
| 1206 | MA | MD | Registered Dietitian |
| 2091-0221 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Valley Nutrition, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Pioneer Valley Nutrition, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Northampton, MA
- NPI 1336186873
Dietitian, Registered
-
- Registered Dietitian
- Northampton, MA
- NPI 1679713242
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1164696159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 604",
"city": "HADLEY",
"state": "MA",
"postal_code": "01035",
"telephone_number": "413-586-7740",
"fax_number": "413-586-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 NORTHAMPTON ST",
"address_2": "SUITE 8",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010271051",
"telephone_number": "413-527-7676",
"fax_number": "413-527-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEPACKI",
"first_name": "JEAN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RD, LDN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2091-0221",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.