Active NPI
Jessica Marie Holley, LDN, RD
- Registered Dietitian
- Pittsfield, MA
National Provider Identifier
1235966565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5461
- Practice address
- 725 North St
Pittsfield, MA 01201-4109 - Phone
- (413) 447-2000
- NPI assigned
- Sep 19, 2024
- 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 | 5461 | MA | Primary |
Addresses
Primary practice location
725 North St
Pittsfield, MA 01201-4109
Mailing address
725 North St
Pittsfield, MA 01201-4109
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 |
|---|---|---|---|
| 5461 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1235966565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109",
"telephone_number": "413-447-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LDN, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.