Individual provider Active NPI

Jaclyn Klayman

  • Registered Dietitian
  • Middletown, RI
National Provider Identifier
1972372332
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01374 Issued in RI
Practice address
850 Aquidneck Ave Ste a-5
Middletown, RI 02842-7280
Phone
(401) 396-9331
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN7014 MA
Registered Dietitian 133V00000X LDN01374 RI Primary

Addresses

Primary practice location

850 Aquidneck Ave Ste a-5
Middletown, RI 02842-7280

Mailing address

24 Talcott Rd
North Easton, MA 02356-2403
Phone (774) 266-5145

Other practice location 1

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

Other practice location 2

1775 Bald Hill Rd Unit 3
Warwick, RI 02886-4210
Phone (401) 396-9331

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN7014MAMDRegistered Dietitian
LDN01374RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Nutrition Inc. Dietitian, Registered CurrentSince Mar 1, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914
Phone (401) 396-9331

450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080

850 Aquidneck Ave
Ste A5
Middletown, RI 02842
Phone (401) 396-9331

1775 Bald Hill Rd
Unit 3
Warwick, RI 02886
Phone (401) 396-9331

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.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1972372332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TALCOTT RD",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562403",
            "telephone_number": "774-266-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 AQUIDNECK AVE STE A-5",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427280",
            "telephone_number": "401-396-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Veterans Memorial Pkwy Ste 8C",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-396-9331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Bald Hill Rd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864210",
            "country_code": "US",
            "telephone_number": "401-396-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAYMAN",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN7014",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.