Active NPIIndividual providerSole proprietor

Mrs. Jessica W Blood, RD

Dietitian, Registered in Ayer, Massachusetts

NPI Number1174114672
Practice location
200 Groton RD, Ayer, MA 01432-1168
Fax
978-784-9889
Last updated
January 28, 2021

Jessica Winnie Blood is a Dietitian, Registered based in Ayer, MA. Jessica Winnie Blood practices in Ayer, MA and has the professional credentials of RD. The NPI Number for Jessica Winnie Blood is 1174114672 and holds a License No. 5116 (MA). The current practice location address for Jessica Winnie Blood is 200 Groton RD, Ayer, MA 01432-1168 and can be reached out via phone at 978-784-9314 and via fax at 978-784-9889.

Provider Profile Details

NPI Number
1174114672
Provider Name
Jessica Winnie Blood
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
200 Groton RD, Ayer, MA 01432-1168
Phone Number
978-784-9314
Fax Number
978-784-9889
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2021
Last Update Date
January 28, 2021
Certification Date
January 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Groton RD
Ayer, MA 01432-1168
City
Ayer
Zip
01432-1168
Phone Number
978-784-9314
Fax Number
978-784-9889
Ayer, MA 01432Get directions →

Provider Business Mailing Address Details

Address
30 Chestnut St Apt 1
Malden, MA 02148-3606
City
Malden
State
MA
Zip
02148-3606
Phone Number
631-252-3337

License Information

License Number
5116
License State
MA
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 Mrs. Jessica W Blood, RD?

The NPI number of Mrs. Jessica W Blood, RD is 1174114672. It was assigned on January 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica W Blood, RD?

Mrs. Jessica W Blood, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 5116.

Where does Mrs. Jessica W Blood, RD practice?

The practice location is 200 Groton RD, Ayer, MA 01432-1168. The office can be reached at 978-784-9314 (phone) or 978-784-9889 (fax).

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 1174114672 directly on the NPPES registry website.

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