Active NPIIndividual provider

Ms. Jenelle Indelicato, RD

Dietitian, Registered, Nutrition, Obesity and Weight Management in Burlington, Massachusetts

NPI Number1669082525
Practice location
41 Mall RD, Burlington, MA 01805-2713
Fax
—
Last updated
September 14, 2021

Jenelle Indelicato is a Dietitian, Registered, Nutrition, Obesity and Weight Management based in Burlington, MA. Jenelle Indelicato practices in Burlington, MA and has the professional credentials of RD. The NPI Number for Jenelle Indelicato is 1669082525 and holds a License No. 4005 (MA). The current practice location address for Jenelle Indelicato is 41 Mall RD, Burlington, MA 01805-2713 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1669082525
Provider Name
Jenelle Indelicato
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
41 Mall RD, Burlington, MA 01805-2713
Phone Number
781-744-8000
Sole Proprietor
No
Provider Enumeration Date
August 5, 2020
Last Update Date
September 14, 2021
Certification Date
September 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-2713
Zip
01805-2713
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
50 Mall RD Ste G03
Burlington, MA 01803-4529
City
Burlington
State
MA
Zip
01803-4529

License Information

License Number (1)
4005
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
86056317
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X
License Number (3)
86056317
License State (3)
MA
License Number (5)
4005
License State (5)
MA

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 Ms. Jenelle Indelicato, RD?

The NPI number of Ms. Jenelle Indelicato, RD is 1669082525. It was assigned on August 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Jenelle Indelicato, RD?

Ms. Jenelle Indelicato, RD is registered under the primary taxonomy Dietitian, Registered, Nutrition, Obesity and Weight Management (code 133VN1201X), licensed in MA under license number 4005.

Where does Ms. Jenelle Indelicato, RD practice?

The practice location is 41 Mall RD, Burlington, MA 01805-2713. The office can be reached at 781-744-8000 (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 1669082525 directly on the NPPES registry website.

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