Active NPIIndividual providerSole proprietor

Jessica L Thongparn, RD

Dietitian, Registered in Derby, Connecticut

NPI Number1093305674
Practice location
204 New Haven Ave Unit 8C, Derby, CT 06418-2150
Fax
—
Last updated
January 19, 2021

Jessica Lauren Thongparn is a Dietitian, Registered based in Derby, CT. Jessica Lauren Thongparn practices in Derby, CT and has the professional credentials of RD. The NPI Number for Jessica Lauren Thongparn is 1093305674 and holds a License No. 957503 (CT). The current practice location address for Jessica Lauren Thongparn is 204 New Haven Ave Unit 8C, Derby, CT 06418-2150 and can be reached out via phone at 860-806-5013.

Provider Profile Details

NPI Number
1093305674
Provider Name
Jessica Lauren Thongparn
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
204 New Haven Ave Unit 8C, Derby, CT 06418-2150
Phone Number
860-806-5013
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2021
Last Update Date
January 19, 2021
Certification Date
January 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 New Haven Ave Unit 8C
Derby, CT 06418-2150
City
Derby
Zip
06418-2150
Phone Number
860-806-5013
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
204 New Haven Ave Unit 8C
Derby, CT 06418-2150
City
Derby
State
CT
Zip
06418-2150
Phone Number
860-806-5013

License Information

License Number
957503
License State
CT
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 Jessica L Thongparn, RD?

The NPI number of Jessica L Thongparn, RD is 1093305674. It was assigned on January 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica L Thongparn, RD?

Jessica L Thongparn, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 957503.

Where does Jessica L Thongparn, RD practice?

The practice location is 204 New Haven Ave Unit 8C, Derby, CT 06418-2150. The office can be reached at 860-806-5013 (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 1093305674 directly on the NPPES registry website.

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