Active NPIIndividual providerSole proprietor

Julie A Jacobsen, MS, RD, LDN

Dietitian, Registered in Watertown, Massachusetts

NPI Number1245639285
Practice location
57 Coolidge Ave, Watertown, MA 02472
Fax
617-812-8016
Last updated
June 16, 2018

Julie A Jacobsen is a Dietitian, Registered based in Watertown, MA. Julie A Jacobsen practices in Watertown, MA and has the professional credentials of MS, RD, LDN. The NPI Number for Julie A Jacobsen is 1245639285 and holds a License No. 3653 (MA). The current practice location address for Julie A Jacobsen is 57 Coolidge Ave, Watertown, MA 02472 and can be reached out via phone at 617-923-2255 and via fax at 617-812-8016.

Provider Profile Details

NPI Number
1245639285
Provider Name
Julie A Jacobsen
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
57 Coolidge Ave, Watertown, MA 02472
Phone Number
617-923-2255
Fax Number
617-812-8016
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2014
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Coolidge Ave
Watertown, MA 02472
Zip
02472
Phone Number
617-923-2255
Fax Number
617-812-8016
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
57 Coolidge Ave
Watertown, MA 02472-2802
City
Watertown
State
MA
Zip
02472-2802
Phone Number
617-923-2255
Fax Number
617-812-8016

License Information

License Number
3653
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 Julie A Jacobsen, MS, RD, LDN?

The NPI number of Julie A Jacobsen, MS, RD, LDN is 1245639285. It was assigned on August 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Julie A Jacobsen, MS, RD, LDN?

Julie A Jacobsen, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3653.

Where does Julie A Jacobsen, MS, RD, LDN practice?

The practice location is 57 Coolidge Ave, Watertown, MA 02472. The office can be reached at 617-923-2255 (phone) or 617-812-8016 (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 1245639285 directly on the NPPES registry website.

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