Active NPI
Jeanine Ledoux, R.D.
- Registered Dietitian
- Needham, MA
National Provider Identifier
1417372384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3488
- Practice address
- 145 Rosemary St
Suite D
Needham, MA 02494-3238 - Phone
- (781) 453-8505
- Fax
- (781) 453-8542
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 3488 | MA | Primary |
Addresses
Primary practice location
145 Rosemary St
Suite D
Needham, MA 02494-3238
Mailing address
145 Rosemary St
Suite D
Needham, MA 02494-3238
Phone (781) 453-8505
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1417372384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ROSEMARY ST",
"address_2": "SUITE D",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943238",
"telephone_number": "781-453-8505",
"fax_number": "781-453-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ROSEMARY ST",
"address_2": "SUITE D",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943238",
"telephone_number": "781-453-8505",
"fax_number": "781-453-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "JEANINE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.