NPIMap

Organization Active NPI

Jessica Dean Nutrition, LLC

  • Registered Dietitian
  • Madison, CT
National Provider Identifier
1659900405
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JESSICA DEAN NUTRITION, LLC
Practice address
111 Bradley Rd
Madison, CT 06443-2601
Phone
(203) 848-4574
NPI assigned
Apr 3, 2020
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Jessica Dean, RD
Title
Owner
Phone
(203) 848-4574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

111 Bradley Rd
Madison, CT 06443-2601

Mailing address

43 Summer Hill Rd
Madison, CT 06443-1851
Phone (203) 848-4574

National Provider Directory

National Provider Directory

Locations

99 Whitfield St
Ste 203
Guilford, CT 06437

111 Bradley Rd
Madison, CT 06443
Phone (203) 848-4574

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1659900405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SUMMER HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431851",
            "telephone_number": "203-848-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432601",
            "telephone_number": "203-848-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA DEAN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-848-4574",
        "authorized_official_credential": "RD"
    },
    "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 Madison, CT

Sources for this page

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