Active NPI
Jennifer Williamson, RD, CD-N
- Registered Dietitian
- Hartford, CT
National Provider Identifier
1629871587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001785
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-5703
- NPI assigned
- Mar 28, 2025
- 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 | 001785 | CT | Primary |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
3 Galotto St
Stafford Springs, CT 06076-1107
Other practice location 1
3 Galotto St
Stafford Springs, CT 06076-1107
Phone (860) 428-5586
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001785 | CT | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1629871587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GALOTTO ST",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060761107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-5703"
}
],
"practiceLocations": [
{
"address_1": "3 Galotto St",
"address_purpose": "LOCATION",
"city": "Stafford Springs",
"state": "CT",
"postal_code": "060761107",
"country_code": "US",
"telephone_number": "860-428-5586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "JENNIFER",
"credential": "RD, CD-N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.