Active NPIIndividual providerSole proprietor

Ms. Kathleen M Jordan, M, RD, LDN

Dietitian, Registered in Stoughton, Massachusetts

NPI Number1740433580
Practice location
135 Lincoln St, Stoughton, MA 02072-2522
Fax
781-344-0762
Last updated
October 24, 2008

Kathleen Marian Jordan is a Dietitian, Registered based in Stoughton, MA. Kathleen Marian Jordan practices in Stoughton, MA and has the professional credentials of M, RD, LDN. The NPI Number for Kathleen Marian Jordan is 1740433580 and holds a License No. 000003761 (MA). The current practice location address for Kathleen Marian Jordan is 135 Lincoln St, Stoughton, MA 02072-2522 and can be reached out via phone at 734-255-9239 and via fax at 781-344-0762.

Provider Profile Details

NPI Number
1740433580
Provider Name
Kathleen Marian Jordan
Credential
M, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
135 Lincoln St, Stoughton, MA 02072-2522
Phone Number
734-255-9239
Fax Number
781-344-0762
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2008
Last Update Date
October 24, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Lincoln St
Stoughton, MA 02072-2522
Zip
02072-2522
Phone Number
734-255-9239
Fax Number
781-344-0762
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
135 Lincoln St
Stoughton, MA 02072-2522
City
Stoughton
State
MA
Zip
02072-2522
Phone Number
734-255-9239
Fax Number
781-344-0762

License Information

License Number
000003761
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 Ms. Kathleen M Jordan, M, RD, LDN?

The NPI number of Ms. Kathleen M Jordan, M, RD, LDN is 1740433580. It was assigned on October 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathleen M Jordan, M, RD, LDN?

Ms. Kathleen M Jordan, M, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 000003761.

Where does Ms. Kathleen M Jordan, M, RD, LDN practice?

The practice location is 135 Lincoln St, Stoughton, MA 02072-2522. The office can be reached at 734-255-9239 (phone) or 781-344-0762 (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 1740433580 directly on the NPPES registry website.

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