Jessica L Roy, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3058 Issued in MA

Practice address

425 Waverley Oaks Rd Ste 200
Waltham, MA 02452

Phone

(781) 786-6079

Fax

(781) 894-7014

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Great Wave Wellness, LLC

  • Acupuncturist
  • Westford, MA
  • NPI 1568249480
  Medicare reassignment NPD
• Waverley Oaks Athletic Club

  • Registered Dietitian
  • Waltham, MA
  • NPI 1497118103

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1649532169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-786-6079",
            "fax_number": "781-894-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-786-6079",
            "fax_number": "781-894-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millicent Rothman, RN, BC, NP
• Nicholas Armand Rotolo, PSY.D.
• Andrea Jayne Rourke, ATC
• Kayla Rowan, DPT
• Christine Rowley
• Teresa Roy
• Stefi Gail Rubin, PH.D.
• Andrea Ruby, NP
• Katrina Rudd, LICSW
• Elaine B Rudel, MS, SLP-CCC

• Registered Dietitian in Waltham, MA
• Providers in Waltham, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.