Active NPI
Jessica Winnie Blood, RD
- Registered Dietitian
- Ayer, MA
National Provider Identifier
1174114672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5116
- Practice address
- 200 Groton Rd
Ayer, MA 01432-1168 - Phone
- (978) 784-9314
- Fax
- (978) 784-9889
- NPI assigned
- Jan 28, 2021
- Last updated
- Jan 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5116 | MA | Primary |
Addresses
Primary practice location
200 Groton Rd
Ayer, MA 01432-1168
Mailing address
30 Chestnut St Apt 1
Malden, MA 02148-3606
Phone (631) 252-3337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.blood@sodexo.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1174114672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CHESTNUT ST APT 1",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483606",
"telephone_number": "631-252-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GROTON RD",
"city": "AYER",
"state": "MA",
"postal_code": "014321168",
"telephone_number": "978-784-9314",
"fax_number": "978-784-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOD",
"first_name": "JESSICA",
"middle_name": "WINNIE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5116",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.blood@sodexo.com",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Groton Rd",
"city": "Ayer",
"state": "MA",
"country_code": "US",
"postal_code": "014321168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ayer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.