Active NPI
Jalyn Maureen Sedor, MS, RDN, LDN
- Registered Dietitian
- Danvers, MA
National Provider Identifier
1215610456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN6977
- Practice address
- 110 Newbury St Ste 6
Danvers, MA 01923-1097 - Phone
- (413) 887-7702
- NPI assigned
- Aug 14, 2023
- Last updated
- Aug 14, 2023
- 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 | LDN6977 | MA | Primary |
Addresses
Primary practice location
110 Newbury St Ste 6
Danvers, MA 01923-1097
Mailing address
23 Cummings Rd Apt 5
Brighton, MA 02135-7348
Phone (413) 887-7702
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN6977 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1215610456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CUMMINGS RD APT 5",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021357348",
"telephone_number": "413-887-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NEWBURY ST STE 6",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231097",
"telephone_number": "413-887-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDOR",
"first_name": "JALYN",
"middle_name": "MAUREEN",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN6977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.