Active NPIOrganization

Jd Nutrition LLC

Dietitian, Registered in Colchester, Connecticut

NPI Number1053819110
Practice location
214 Lake Hayward RD, Colchester, CT 06415-1815
Fax
—
Last updated
January 24, 2018

Jd Nutrition LLC is a healthcare organization based in Colchester, CT. Jd Nutrition LLC practices in Colchester, CT. The NPI Number for Jd Nutrition LLC is 1053819110. The current practice location address for Jd Nutrition LLC is 214 Lake Hayward RD, Colchester, CT 06415-1815 and can be reached out via phone at 860-705-4669.

Provider Profile Details

NPI Number
1053819110
Provider Name
Jd Nutrition LLC
Provider Entity Type
Organization
Address
214 Lake Hayward RD, Colchester, CT 06415-1815
Phone Number
860-705-4669
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Jacqueline Durand, RD, CDN · Owner · 860-705-4669
Provider Enumeration Date
January 24, 2018
Last Update Date
January 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
214 Lake Hayward RD
Colchester, CT 06415-1815
Zip
06415-1815
Phone Number
860-705-4669
Colchester, CT 06415Get directions →

Provider Business Mailing Address Details

Address
214 Lake Hayward RD
Colchester, CT 06415-1815
City
Colchester
State
CT
Zip
06415-1815
Phone Number
860-705-4669

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jd Nutrition LLC?

The NPI number of Jd Nutrition LLC is 1053819110. It was assigned on January 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Jd Nutrition LLC?

Jd Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Jd Nutrition LLC practice?

The practice location is 214 Lake Hayward RD, Colchester, CT 06415-1815. The office can be reached at 860-705-4669 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053819110 directly on the NPPES registry website.

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