Active NPI
Jeanned'Arc Haddad, RD
- Registered Dietitian
- Wellesley, MA
National Provider Identifier
1740625250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2020
- Practice address
- 170 Worcester St
Wellesley, MA 02481-5506 - Phone
- (781) 232-5433
- Fax
- (781) 431-1933
- NPI assigned
- May 10, 2013
- Last updated
- May 10, 2013
- 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 | 2020 | MA | Primary |
Addresses
Primary practice location
170 Worcester St
Wellesley, MA 02481-5506
Mailing address
170 Worcester St
Wellesley, MA 02481-5506
Phone (781) 232-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2024 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1740625250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815506",
"telephone_number": "781-232-5433",
"fax_number": "781-431-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815506",
"telephone_number": "781-232-5433",
"fax_number": "781-431-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "JEANNED'ARC",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.