Active NPI
Jaclyn Klayman
- Registered Dietitian
- Middletown, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN01374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LDN7014 | MA | MD | Registered Dietitian |
| LDN01374 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Nutrition Inc. | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- East Providence, RI
- NPI 1336265800
Dietitian, Registered
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.