Jessica Amidon
Individual provider Active NPI Nutritionist · Brighton, MA
NPI 1487067575 · NPPES record last updated Jun 5, 2014
Key facts
- NPI
- 1487067575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 71 Surrey St
Brighton, MA 02135-2633 - Phone
- (617) 319-4797
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
71 Surrey St
Brighton, MA 02135-2633
Mailing address
71 Surrey St
Brighton, MA 02135-2633
Phone (617) 319-4797
Other providers in Brighton, MA
- Am-PM Medical Supplies
- Aaron Amardey-Wellington
- Afraa Amer
- Libby Amer
- American Chinese Medical Center, PC
- Kwame O. Amponsah
- Mark Stewart Amster
- Anam Solas Therapy LLC
- Jennifer Lyn Anders
- Cathy Lee Anderson
All providers in Brighton, MA · Nutritionist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.