Active NPI
Jill Diana Weisberg, RDN, LDN
- Registered Dietitian
- Waltham, MA
National Provider Identifier
1831930460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86153166
- Practice address
- 33 Cheryl LN
Waltham, MA 02451-2131 - Phone
- (781) 996-8214
- NPI assigned
- Jun 6, 2024
- 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 | 86153166 | MA | Primary |
Addresses
Primary practice location
33 Cheryl LN
Waltham, MA 02451-2131
Mailing address
33 Cheryl LN
Waltham, MA 02451-2131
Phone (781) 996-8214
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86153166 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1831930460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CHERYL LN",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024512131",
"telephone_number": "781-996-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CHERYL LN",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024512131",
"telephone_number": "781-996-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBERG",
"first_name": "JILL",
"middle_name": "DIANA",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86153166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.