Active NPI
Jingwei Lu, RD
- Registered Dietitian
- Quincy, MA
National Provider Identifier
1740919356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86172657
- Practice address
- 18 Johnson Ave Apt 14
Quincy, MA 02169-4553 - Phone
- (857) 498-1385
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 86172657 | MA | Primary |
Addresses
Primary practice location
18 Johnson Ave Apt 14
Quincy, MA 02169-4553
Mailing address
18 Johnson Ave Apt 14
Quincy, MA 02169-4553
Phone (857) 498-1385
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.simplepractice.com/ | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 86172657 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1740919356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 JOHNSON AVE APT 14",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694553",
"telephone_number": "857-498-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 JOHNSON AVE APT 14",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694553",
"telephone_number": "857-498-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "JINGWEI",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86172657",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.simplepractice.com/",
"affiliation": "N",
"endpointDescription": "Integrated with telehealth, online appointment requests, paperless intakes, and more.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18 Johnson Ave Apt 14",
"city": "Quincy",
"state": "MA",
"country_code": "US",
"postal_code": "021694553",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.