Active NPIIndividual providerSole proprietor

Jessica M Fagan, RDN

Dietitian, Registered in Lynnfield, Massachusetts

NPI Number1184242695
Practice location
2 Nottingham RD, Lynnfield, MA 01940-2212
Fax
—
Last updated
July 10, 2020

Jessica Margaret Fagan is a Dietitian, Registered based in Lynnfield, MA. Jessica Margaret Fagan practices in Lynnfield, MA and has the professional credentials of RDN. The NPI Number for Jessica Margaret Fagan is 1184242695. The current practice location address for Jessica Margaret Fagan is 2 Nottingham RD, Lynnfield, MA 01940-2212 and can be reached out via phone at 781-929-2513.

Provider Profile Details

NPI Number
1184242695
Provider Name
Jessica Margaret Fagan
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
2 Nottingham RD, Lynnfield, MA 01940-2212
Phone Number
781-929-2513
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2020
Last Update Date
July 10, 2020
Certification Date
July 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Nottingham RD
Lynnfield, MA 01940-2212
Zip
01940-2212
Phone Number
781-929-2513
Lynnfield, MA 01940Get directions →

Provider Business Mailing Address Details

Address
2 Nottingham RD
Lynnfield, MA 01940-2212
City
Lynnfield
State
MA
Zip
01940-2212
Phone Number
781-929-2513

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 Jessica M Fagan, RDN?

The NPI number of Jessica M Fagan, RDN is 1184242695. It was assigned on July 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Jessica M Fagan, RDN?

Jessica M Fagan, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Jessica M Fagan, RDN practice?

The practice location is 2 Nottingham RD, Lynnfield, MA 01940-2212. The office can be reached at 781-929-2513 (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 1184242695 directly on the NPPES registry website.

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