Individual provider Active NPI

Jeanne S Brown, RD,CDE,LD

  • Registered Dietitian
  • Concord, NH
National Provider Identifier
1548309602
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5 Issued in NH
Practice address
18 Foundry St Ste 101
Concord, NH 03301-5421
Phone
(603) 230-5636
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 5 NH Primary

Addresses

Primary practice location

18 Foundry St Ste 101
Concord, NH 03301-5421

Mailing address

18 Foundry St Ste 101
Concord, NH 03301-5421
Phone (603) 230-5636

Other practice location 1

157 N Mast St
Goffstown, NH 03045-3202
Phone (603) 660-6541

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

LicenseStateTypeSpecialty
5NHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1548309602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015421",
            "telephone_number": "603-230-5636",
            "fax_number": "603-227-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015421",
            "telephone_number": "603-230-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 N Mast St",
            "address_purpose": "LOCATION",
            "city": "Goffstown",
            "state": "NH",
            "postal_code": "030453202",
            "country_code": "US",
            "telephone_number": "603-660-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEANNE",
        "middle_name": "S",
        "credential": "RD,CDE,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.