JESSICA DEAN NUTRITION, LLC (NPI# 1659900405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659900405 |
| Entity Type | Organization |
| Organization Name | JESSICA DEAN NUTRITION, LLC |
| Practice Address |
111 Bradley Rd Madison CT 06443-2601 |
| Mailing Address |
43 Summer Hill Rd Madison CT 06443-1851 |
| Practice Telephone | 2038484574 |
| Mailing Telephone | 2038484574 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JESSICA DEAN (OWNER) |
| Authorized Official Telephone | 2038484574 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
111 BRADLEY RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950893 | Heather Marie Nereson Lorden | Dietitian, Registered | 600 Highland Aveneu, Madison, WI 53792-0001 | 2019-06-12 |
| 1891255543 | Vincent Gene Suha | Dietitian, Registered | 214 Rosemary Ave, Madison, WI 53714-1842 | 2019-03-20 |
| 1174024392 | Everyday Nutrition | Dietitian, Registered | 547 Florence Dr, Madison, MS 39110-7326 | 2018-02-22 |
| 1740789502 | Kimberly Kaye Swanson | Dietitian, Registered | 34 Schroeder Ct Ste 230, Madison, WI 53711-2528 | 2018-02-07 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1316487614 | Emily Bawden | Dietitian, Registered | 110 N Livingston St Apt 481, Madison, WI 53703-4431 | 2017-03-06 |
| 1083151526 | Nutrition, LLC | Dietitian, Registered | 347 Waters Edge Ln, Madison, AL 35758-2561 | 2017-01-23 |
| 1033655048 | Sarah Dreifke | Dietitian, Registered | 600 Highland Ave # 1510, Madison, WI 53792-0001 | 2017-01-13 |
| 1831641646 | Rachel Roser | Dietitian, Registered | 10 Loomis Cir, Apt 2, Madison, WI 53704-8931 | 2016-10-27 |
| 1538542733 | Wendy Broekema | Dietitian, Registered | 1708 Winnebago St, Madison, WI 53704-5560 | 2015-07-07 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on JESSICA DEAN NUTRITION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.