Individual provider Active NPI

Jennifer A Millett, RD

  • Registered Dietitian
  • Chelmsford, MA
National Provider Identifier
1861763427
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3310 Issued in MA
Practice address
2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723
Phone
(978) 408-8812
Fax
(978) 735-4586
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3310 MA Primary

Addresses

Primary practice location

2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723

Mailing address

2 Courthouse LN Unit 10
Chelmsford, MA 01824-1723
Phone (978) 408-8812

Other practice location 1

144 Pleasant St
Attleboro, MA 02703-2443
Phone (508) 226-8616

Other names 1

  • Jennifer Ann Looney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000283 MA Practitioner - Registered Dietitian Or Nutrition Professional 2668842758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3310MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kellie Berry Nutrition Inc Dietitian, Registered CurrentSince Oct 1, 2022 Accepting new patients
Pleasant Street Rest Home Inc Past Accepting new patients
Hope Medical Group PastSince Apr 1, 2013 Accepting new patients
Pleasant Street Assisted Care PastSince Aug 11, 2024 Accepting new patients

Locations

2 Courthouse Ln
Ste 10
Chelmsford, MA 01824
Phone (978) 332-6893

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1861763427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN UNIT 10",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241723",
            "telephone_number": "978-408-8812",
            "fax_number": "978-735-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN UNIT 10",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241723",
            "telephone_number": "978-408-8812",
            "fax_number": "978-735-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032443",
            "country_code": "US",
            "telephone_number": "508-226-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLETT",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LOONEY",
            "middle_name": "ANN",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.