Active NPI
Emily Bukovich, LLC Dba Jannabis Wellness
- Registered Dietitian
- Watertown, MA
National Provider Identifier
1629925177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EMILY BUKOVICH, LLC DBA JANNABIS WELLNESS
- Practice address
- 6 Chapman St
Watertown, MA 02472-1779 - Phone
- (781) 640-6594
- NPI assigned
- Mar 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Bukovich, MS, RDN, IFNCP
- Title
- Ceo
- Phone
- (781) 640-6594
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
6 Chapman St
Watertown, MA 02472-1779
Mailing address
6 Chapman St
Watertown, MA 02472-1779
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1629925177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CHAPMAN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 CHAPMAN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721779",
"telephone_number": "781-640-6594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILY BUKOVICH, LLC DBA JANNABIS WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-13",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "BUKOVICH",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-640-6594",
"authorized_official_credential": "MS, RDN, IFNCP"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.