JESSICA PROHN (NPI# 1225666019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225666019 |
| Entity Type | Individual |
| Full Name | JESSICA PROHN |
| Credential | MS, RD, CSR, LDN |
| Practice Address |
35 Hingham Rd North Grafton MA 01536-1281 |
| Practice Telephone | 5086850624 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
2870 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DIETITIAN/NUTRITIONIST STATE LICENSE | 2870 | 01 |
| Street Address |
35 HINGHAM RD |
| City | NORTH GRAFTON |
| State | MA |
| Zip Code | 01536-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1215395082 | Eric Levitre | Developmental Therapist | 70 Waterville Street, Grafton, MA 01536 | 2016-02-08 |
| 1528453925 | New England Psychological Assesment Center, Inc | Psychologist | 13 Centennial Drive, North Grafton, MA 01536 | 2015-04-02 |
| 1023112422 | William Albert Fazzino | Chiropractor | 202 Worcester St, Suite 10, North Grafton, MA 01536 | 2006-09-08 |
| 1477561710 | Mark Scott Polasky | Dentist | 200 Worcester St, North Grafton, MA 01536 | 2006-08-03 |
| 1811949886 | Anthony Robert Molinari | Optometrist | 1 Hollywood Drive, Grafton, MA 01536 | 2006-05-17 |
| 1831616846 | Alexandra Jo Warden-michl | Physical Therapist | 204 Worcester St, North Grafton, MA 01536 | 2017-08-30 |
| 1982063004 | Shayla Lorraine Johnson | Counselor | 13 Centennial Dr, North Grafton, MA 01536 | 2016-02-17 |
| 1790157311 | Jennifer Jefferson | Developmental Therapist | 31 Wesson Street, North Grafton, MA 01536-0000 | 2015-10-22 |
| 1952815813 | Simply Orthodontics Grafton Pllc | Dentist | 103 Worcester St Ste C, North Grafton, MA 01536-1019 | 2017-11-29 |
| Find all providers in zip 01536 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699455 | Avotrition LLC | Dietitian, Registered | 449 Canal St Apt 606, Somerville, MA 02145-4364 | 2020-11-02 |
| 1477181766 | Sierra Parker | Dietitian, Registered | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-03-31 |
| 1104488170 | Umass Memorial Health Care, Inc. | Dietitian, Registered | 157 Union St, Marlborough, MA 01752-1228 | 2019-07-01 |
| 1144401316 | Karen Elizabeth Horton | Dietitian, Registered | 300 Stafford St, Suite 161, Springfield, MA 01104-3581 | 2007-11-16 |
| 1609055987 | Nadia Renee Marzella | Dietitian, Registered | 100 Milk St, Methuen, MA 01844-4600 | 2007-11-02 |
| 1053506618 | Haewook Han | Dietitian, Registered | 133 Brookline Ave, Boston, MA 02215-3904 | 2007-09-07 |
| 1336342633 | Poonhar Louisa Poon | Dietitian, Registered | 35 Kneeland St Ste 5, Boston, MA 02111-1523 | 2007-06-06 |
| 1144346016 | Lorraine S Castaldo | Dietitian, Registered | 165 Cambridge St, Mgh Capd Unit Suite 504, Boston, MA 02114-2783 | 2007-03-22 |
| 1255481339 | Nancy Orlando | Dietitian, Registered | 56 Winthrop St, Suite B, Concord, MA 01742-2076 | 2007-01-11 |
| 1447340716 | Nancy S Spinozzi | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-10-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTH GRAFTON |
| Zip Code | 01536 |
Please comment or provide details below to improve the information on JESSICA PROHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.