Individual provider Active NPI

Jessica Dawicki, RD

  • Registered Dietitian
  • Northampton, MA
National Provider Identifier
1265045421
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5134-NU-NU Issued in MA
Practice address
22 Atwood Dr
Northampton, MA 01060-4267
Phone
(413) 586-1601
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5134-NU-NU MA Primary

Addresses

Primary practice location

22 Atwood Dr
Northampton, MA 01060-4267

Mailing address

20 Riverbank Rd
Northampton, MA 01060-2506
Phone (978) 894-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112001396 MA Practitioner - Registered Dietitian Or Nutrition Professional 2062822547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 Atwood Dr
FL 1
Northampton, MA 01060-4267
Phone (413) 586-1601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5134MAMDMental Health Counselor
5134-NU-NUMAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jun 1, 2021 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Sep 1, 2020 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Sep 1, 2020 Accepting new patients

Locations

22 Atwood Dr
#3
Northampton, MA 01060

22 Atwood Dr
Fl 1
Northampton, MA 01060
Phone (413) 586-1601

22 Atwood Dr
Northampton, MA 01060
Phone (413) 570-4900

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

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.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1265045421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERBANK RD",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602506",
            "telephone_number": "978-894-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ATWOOD DR",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604267",
            "telephone_number": "413-586-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWICKI",
        "first_name": "JESSICA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5134-NU-NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.