Active NPI
Jacqueline Michetti, RD, LDN
- Registered Dietitian
- Malden, MA
National Provider Identifier
1184975286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3380
- Practice address
- 132 Bainbridge St
Malden, MA 02148-2956 - Phone
- (857) 205-1706
- NPI assigned
- Sep 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3380 | MA | Primary |
Addresses
Primary practice location
132 Bainbridge St
Malden, MA 02148-2956
Mailing address
132 Bainbridge St
Malden, MA 02148-2956
Phone (857) 205-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3380 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Grounded Rd, LLC. | Current | Accepting new patients | |
| Strategic Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Health Service Clinic/Center
- Malden, MA
- NPI 1437016250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1184975286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 BAINBRIDGE ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482956",
"telephone_number": "857-205-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 BAINBRIDGE ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482956",
"telephone_number": "857-205-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHETTI",
"first_name": "JACQUELINE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.