Active NPI
Jessamy Wood Cornell, RDN, LD, CDE
- Registered Dietitian
- Wolfeboro, NH
National Provider Identifier
1285783803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 346
- Practice address
- 240 S Main St
Wolfeboro, NH 03894-4411 - Phone
- (603) 569-7549
- Fax
- (603) 515-2085
- NPI assigned
- Jan 10, 2007
- Last updated
- Nov 21, 2018
- 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 | 346 | NH | Primary |
Addresses
Primary practice location
240 S Main St
Wolfeboro, NH 03894-4411
Mailing address
PO Box 1555
Wolfeboro, NH 03894-1555
Phone (603) 498-4862
Other practice location 1
323 Stoneham Rd
Wolfeboro, NH 03894-4709
Phone (603) 498-4862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1285783803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1555",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038941555",
"telephone_number": "603-498-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S MAIN ST",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "038944411",
"telephone_number": "603-569-7549",
"fax_number": "603-515-2085"
}
],
"practiceLocations": [
{
"address_1": "323 Stoneham Rd",
"address_purpose": "LOCATION",
"city": "Wolfeboro",
"state": "NH",
"postal_code": "038944709",
"country_code": "US",
"telephone_number": "603-498-4862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNELL",
"first_name": "JESSAMY",
"middle_name": "WOOD",
"credential": "RDN, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.