JESSICA EDELGLASS (NPI# 1710363148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710363148 |
| Entity Type | Individual |
| Full Name | JESSICA EDELGLASS |
| Other Name | JESSICA STISS |
| Credential | MS |
| Practice Address |
215 First St Cambridge MA 02142-1213 |
| Mailing Address |
29 Bolton St Waltham MA 02453-5906 |
| Practice Telephone | 6174918989 |
| Mailing Telephone | 7816092393 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3852 | MA | Dietary & Nutritional Service Providers |
| Street Address |
215 FIRST ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02142-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366842593 | Alexandra Penney | Dietitian, Registered | 215 First St, Cambridge, MA 02142 | 2014-08-25 |
| 1922666031 | Jordan L Schnopp | Dietitian, Registered | 215 First St, Cambridge, MA 02142-1213 | 2019-06-04 |
| 1366818700 | Cambridge Racquetball Inc | Dietitian, Registered | 215 First St, Cambridge, MA 02142-1213 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851890776 | Pramod Soparkar | Dentist | The Forsyth Institute, 245 First St, Cambridge, MA 02142 | 2018-02-06 |
| 1720445331 | Ahmed Keles | Dentist | 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 | 2016-01-27 |
| 1871737213 | Carmen R Bozic | Internal Medicine | Biogen Idec Inc., 14 Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1326282765 | Tenley E Albright | Surgery | The Collaborative, Four Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
| 1467671248 | Frannie Renee Kronenberg | Internal Medicine | 15 Parkman Street, Ima/mgh, Suite 616 Wacc, Boston, MA 02142 | 2007-04-24 |
| 1992820799 | Mary Ann Asbell | General Practice | Genzyme, 500 Kendall Street, Cambridge, MA 02142 | 2007-03-20 |
| 1083743967 | Brian L Hamilton | Pediatrics | Merimack Pharmaceuticals, 101 Binney Street, Cambridge, MA 02142 | 2007-03-05 |
| 1659437481 | Dermot A O'rourke | Psychiatry & Neurology | Mit Clinical Research Center E17-445, 40 Ames Street, Cambridge, MA 02142 | 2006-12-28 |
| 1235238015 | Sumita Gokhale | Pathology | 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 | 2006-09-21 |
| 1972520849 | Theresa Anne Podrebarac | Internal Medicine | 245 First St 16th Floor, Combinatorx Inc, Cambridge, MA 02142 | 2006-07-16 |
| Find all providers in zip 02142 | ||||
| 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 |
|---|---|---|---|---|
| 1356958003 | Cameron Allen Mcdonald | Dietitian, Registered | 567 Putnam Ave Apt 2, Cambridge, MA 02139-4834 | 2020-09-27 |
| 1245843440 | Nourish for Life | Dietitian, Registered | 126 Prospect St Ste 6, Cambridge, MA 02139-2540 | 2020-08-26 |
| 1144853979 | Robin Amylon | Dietitian, Registered | 215 1st St, Cambridge, MA 02142-1213 | 2020-02-20 |
| 1992353163 | Sarah Andrus | Dietitian, Registered | 2 Leighton St Apt 621, Cambridge, MA 02141-1861 | 2019-08-29 |
| 1801443825 | Katharine Bauer | Dietitian, Registered | 1 Aberdeen Way Ste 124, Cambridge, MA 02138-4659 | 2019-08-23 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1013499409 | Eliza Mellion | Dietitian, Registered | 65 Walden St Apt 1r, Cambridge, MA 02140-3399 | 2018-08-31 |
| 1447744313 | Catherine Fanning | Dietitian, Registered | 128 Magazine St Apt 16, Cambridge, MA 02139-3920 | 2018-06-14 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| Find all providers in CAMBRIDGE | ||||
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| 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.