Active NPIIndividual providerSole proprietor

Jessica M Holley, LDN, RD

Dietitian, Registered in Pittsfield, Massachusetts

NPI Number1235966565
Practice location
725 North St, Pittsfield, MA 01201-4109
Fax
—
Last updated
October 7, 2024

Jessica Marie Holley is a Dietitian, Registered based in Pittsfield, MA. Jessica Marie Holley practices in Pittsfield, MA and has the professional credentials of LDN, RD. The NPI Number for Jessica Marie Holley is 1235966565 and holds a License No. 5461 (MA). The current practice location address for Jessica Marie Holley is 725 North St, Pittsfield, MA 01201-4109 and can be reached out via phone at 413-447-2000.

Provider Profile Details

NPI Number
1235966565
Provider Name
Jessica Marie Holley
Credential
LDN, RD
Provider Entity Type
Individual
Gender
Female
Address
725 North St, Pittsfield, MA 01201-4109
Phone Number
413-447-2000
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 19, 2024
Last Update Date
October 7, 2024
Certification Date
October 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 North St
Pittsfield, MA 01201-4109
Zip
01201-4109
Phone Number
413-447-2000
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
725 North St
Pittsfield, MA 01201-4109
City
Pittsfield
State
MA
Zip
01201-4109

License Information

License Number
5461
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 Jessica M Holley, LDN, RD?

The NPI number of Jessica M Holley, LDN, RD is 1235966565. It was assigned on September 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Jessica M Holley, LDN, RD?

Jessica M Holley, LDN, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 5461.

Where does Jessica M Holley, LDN, RD practice?

The practice location is 725 North St, Pittsfield, MA 01201-4109. The office can be reached at 413-447-2000 (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 1235966565 directly on the NPPES registry website.

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