Active NPIIndividual provider

Jacqueline Michetti, RD, LDN

Dietitian, Registered in Malden, Massachusetts

NPI Number1184975286
Practice location
132 Bainbridge St, Malden, MA 02148-2956
Fax
—
Last updated
May 22, 2026

Jacqueline Michetti is a Dietitian, Registered based in Malden, MA. Jacqueline Michetti practices in Malden, MA and has the professional credentials of RD, LDN. The NPI Number for Jacqueline Michetti is 1184975286 and holds a License No. 3380 (MA). The current practice location address for Jacqueline Michetti is 132 Bainbridge St, Malden, MA 02148-2956 and can be reached out via phone at 857-205-1706.

Provider Profile Details

NPI Number
1184975286
Provider Name
Jacqueline Michetti
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
132 Bainbridge St, Malden, MA 02148-2956
Phone Number
857-205-1706
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2012
Last Update Date
May 22, 2026
Certification Date
May 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Bainbridge St
Malden, MA 02148-2956
City
Malden
Zip
02148-2956
Phone Number
857-205-1706
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
132 Bainbridge St
Malden, MA 02148-2956
City
Malden
State
MA
Zip
02148-2956
Phone Number
857-205-1706

License Information

License Number
3380
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 Jacqueline Michetti, RD, LDN?

The NPI number of Jacqueline Michetti, RD, LDN is 1184975286. It was assigned on September 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Michetti, RD, LDN?

Jacqueline Michetti, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3380.

Where does Jacqueline Michetti, RD, LDN practice?

The practice location is 132 Bainbridge St, Malden, MA 02148-2956. The office can be reached at 857-205-1706 (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 1184975286 directly on the NPPES registry website.

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