Jessica Prohn, MS, RD, CSR, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

2870 Issued in MA

Practice address

35 Hingham Rd
North Grafton, MA 01536-1281

Phone

(508) 685-0624

NPI assigned

Mar 29, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MA2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.prohn.1@27511.direct.athenahealth.com

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  Medicare reassignment NPD
• Seen Medical Group, P.a.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1831944370
  Medicare reassignment NPD (past)
• Seen Medical Group of Ma, P.C.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1699486589
  NPD
• Seen Medical Group of TX, PA

  • Adult Medicine Physician
  • Plano, TX
  • NPI 1447019310
  NPD
• Parsley Medical Group FL PA

  dba Parsley Medical Group of AK

  • General Practice Physician
  • Anchorage, AK
  • NPI 1679330039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1225666019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HINGHAM RD",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HINGHAM RD",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361281",
            "telephone_number": "508-685-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHN",
        "first_name": "JESSICA",
        "credential": "MS, RD, CSR, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MA",
            "license": "2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN/NUTRITIONIST STATE LICENSE",
            "identifier": "2870",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilda Pellegrino
• Nicole Phillips, LICSW
• Mary Philpot, FNP-BC
• Pic a Nit LLC
• Mark Scott Polasky, DDS
• Samantha Punt, CMHC
• Christina M Qualey
• Elizabeth Ranzo
• Rona Richard
• Brent Alan Riddle, M.ED., ATC, CSCS

• Renal Nutrition Registered Dietitian in North Grafton, MA
• Providers in North Grafton, MA by specialty
• Renal Nutrition Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.