Jaclyn Fodor, RD, LD
Dietitian, Registered in Bedford, New Hampshire
1265860407- Practice location
- 80 Palomino Ln, Suite 101, Bedford, NH 03110-6447
- Phone
- 603-518-5859
- Fax
- —
- Last updated
- June 12, 2019
Jaclyn Fodor is a Dietitian, Registered based in Bedford, NH. Jaclyn Fodor practices in Bedford, NH and has the professional credentials of RD, LD. The NPI Number for Jaclyn Fodor is 1265860407 and holds a License No. 0685 (NH). The current practice location address for Jaclyn Fodor is 80 Palomino Ln, Suite 101, Bedford, NH 03110-6447 and can be reached out via phone at 603-518-5859.
Provider Profile Details
- NPI Number
- 1265860407
- Provider Name
- Jaclyn Fodor
- Credential
- RD, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 Palomino Ln, Suite 101, Bedford, NH 03110-6447
- Phone Number
- 603-518-5859
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 25, 2013
- Last Update Date
- June 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Palomino Ln
Suite 101
Bedford, NH 03110-6447 - City
- Bedford
- State
- New Hampshire
- Zip
- 03110-6447
- Phone Number
- 603-518-5859
Provider Business Mailing Address Details
- Address
- 78 Perry Ave
Lynnfield, MA 01940-1841 - City
- Lynnfield
- State
- MA
- Zip
- 01940-1841
- Phone Number
- 781-580-9311
License Information
- License Number
- 0685
- License State
- NH
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jaclyn Fodor, RD, LD?
The NPI number of Jaclyn Fodor, RD, LD is 1265860407. It was assigned on October 25, 2013 and is currently active in the NPPES registry.
What is the specialty of Jaclyn Fodor, RD, LD?
Jaclyn Fodor, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NH under license number 0685.
Where does Jaclyn Fodor, RD, LD practice?
The practice location is 80 Palomino Ln, Suite 101, Bedford, NH 03110-6447. The office can be reached at 603-518-5859 (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 1265860407 directly on the NPPES registry website.