Active NPIIndividual provider

Mrs. Jessica A Fallon, RDN

Dietitian, Registered in Hyde Park, Massachusetts

NPI Number1578213286
Practice location
152 Summit St Apt 2, Hyde Park, MA 02136-3945
Fax
—
Last updated
March 25, 2022

Jessica Ann Fallon is a Dietitian, Registered based in Hyde Park, MA. Jessica Ann Fallon practices in Hyde Park, MA and has the professional credentials of RDN. The NPI Number for Jessica Ann Fallon is 1578213286 and holds a License No. 4912 (MA). The current practice location address for Jessica Ann Fallon is 152 Summit St Apt 2, Hyde Park, MA 02136-3945 and can be reached out via phone at 617-827-5319.

Provider Profile Details

NPI Number
1578213286
Provider Name
Jessica Ann Fallon
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
152 Summit St Apt 2, Hyde Park, MA 02136-3945
Phone Number
617-827-5319
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2022
Last Update Date
March 25, 2022
Certification Date
March 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 Summit St Apt 2
Hyde Park, MA 02136-3945
Zip
02136-3945
Phone Number
617-827-5319
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
152 Summit St Apt 2
Hyde Park, MA 02136-3945
City
Hyde Park
State
MA
Zip
02136-3945
Phone Number
617-827-5319

License Information

License Number
4912
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 Mrs. Jessica A Fallon, RDN?

The NPI number of Mrs. Jessica A Fallon, RDN is 1578213286. It was assigned on March 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica A Fallon, RDN?

Mrs. Jessica A Fallon, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4912.

Where does Mrs. Jessica A Fallon, RDN practice?

The practice location is 152 Summit St Apt 2, Hyde Park, MA 02136-3945. The office can be reached at 617-827-5319 (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 1578213286 directly on the NPPES registry website.

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