Jillian Tuchman

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5026-NU-NU Issued in MA

Practice address

55 Lee Rd
Lenox, MA 01240-2703

Phone

(917) 841-9758

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1245869296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1931",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012404931",
            "telephone_number": "917-841-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LEE RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402703",
            "telephone_number": "917-841-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHMAN",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5026-NU-NU",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "5026-NU-NU",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian@workyourgenes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7 Glen Eagles Dr",
            "city": "Lenox",
            "state": "MA",
            "country_code": "US",
            "postal_code": "012402722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ridge Joseph Sulkey
• Jacob W Tetrault, PHARMD
• TH E Sports Medicine Store LLC
• The Town of Lenox
• Town of Lenox
• Jennifer Valente
• Tamara Ann Valicenti, LICSW
• Valleyhead, Inc.
• Margaret Ann Ward, R.D., LDN
• Berta Warner

• Registered Dietitian in Lenox, MA
• Providers in Lenox, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.