Active NPI
Mary-Jennifer Hanlon, R.D., L.D.N
- Registered Dietitian
- Plymouth, MA
National Provider Identifier
1225046642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1232
- Practice address
- 16 Aldrin Rd
Plymouth Nutrition
Plymouth, MA 02360-4804 - Phone
- (508) 746-7448
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- 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 | 1232 | MA | Primary |
Addresses
Primary practice location
16 Aldrin Rd
Plymouth Nutrition
Plymouth, MA 02360-4804
Mailing address
39 W Pond Rd
Plymouth, MA 02360-4732
Phone (508) 747-6085
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 |
|---|---|---|---|
| 1232 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJH Nutrition | Dietitian, Registered | Past | Accepting new patients |
| South Shore Nephrology, P.C. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Plymouth, MA
- NPI 1124305099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225046642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 W POND RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604732",
"telephone_number": "508-747-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ALDRIN RD",
"address_2": "PLYMOUTH NUTRITION",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604804",
"telephone_number": "508-746-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "MARY-JENNIFER",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.