Jaclyn Fodor, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0685 Issued in NH

Practice address

80 Palomino LN
Suite 101
Bedford, NH 03110-6447

Phone

(603) 518-5859

NPI assigned

Oct 25, 2013

Last updated

Jun 12, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nutrition in Motion

  • Registered Dietitian
  • Bedford, NH
  • NPI 1548437312

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1265860407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PERRY AVE",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401841",
            "telephone_number": "781-580-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN",
            "address_2": "SUITE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-518-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODOR",
        "first_name": "JACLYN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fishbein, M.D.
• Marie-Claire Fisher, ARNP, CNM
• James F. Fitzgerald, MD
• Connor Harrison Fleischacker
• Courtney Marie Flynn, FNP-C
• Ashlynn Fogg, APRN
• Madelyn Folcik
• Miruna O Folger, M.D.
• David W Fontaine, MD
• Thomas Fontana, PT

• Registered Dietitian in Bedford, NH
• Providers in Bedford, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.