JESSICA SHAW (NPI# 1396362521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396362521 |
| Entity Type | Individual |
| Full Name | JESSICA SHAW |
| Credential | RD |
| Practice Address |
67 Henderson Ln Hanover MA 02339-1581 |
| Practice Telephone | 3396137796 |
| Mailing Telephone | 3396137796 |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2020-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Hope Ave, Waltham, MA 024532748 | 7816939972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841530128 | Jessica Lynn Shaw | Counselor | S73w16485 Janesville Rd, Muskego, WI 53150-8960 | 2013-02-22 |
| 1174805147 | Jessica Rae Shaw | Dietitian, Registered | 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 | 2011-09-15 |
| 1235428459 | Jessica Anna Shaw | Marriage & Family Therapist | 6420 E Broadway Blvd Ste B200, Tucson, AZ 85710-3514 | 2011-03-29 |
| 1740349281 | Jessica R Shaw | Acupuncturist | 17 Mystic St, Medford, MA 02155-3611 | 2006-12-08 |
| 1386125847 | Jessica Shaw | Occupational Therapist | 920 S 4th St, Louisville, KY 40203-3206 | 2018-08-23 |
| 1609381888 | Jessica Shaw | Behavioral Analyst | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2017-12-09 |
| 1861940983 | Jessica Shaw | Pharmacist | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2016-09-18 |
| 1992172894 | Jessica Shaw | Physical Therapist | 300 Kildaire Woods Dr, Cary, NC 27511 | 2015-08-26 |
| 1548661812 | Jessica Shaw | Occupational Therapist | 200 Governors Ave, Medford, MA 02155-1644 | 2014-09-05 |
| 1285964353 | Jessica Marie Shaw | Podiatrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-01-12 |
| Street Address |
67 HENDERSON LN |
| City | HANOVER |
| State | MA |
| Zip Code | 02339-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| Find all providers in zip 02339 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402856 | Amye O'neal | Dietitian, Registered | 7839 Bakers Creek Ln, Hanover, MD 21076-2244 | 2020-06-24 |
| 1962971127 | Michelle Tasker | Dietitian, Registered | 48 Shoshone Dr, Hanover, PA 17331-7734 | 2018-11-17 |
| 1366996936 | Malorie Blake | Dietitian, Registered | 301 Clearview Rd, Hanover, PA 17331-1313 | 2016-08-11 |
| 1558725432 | Jamie E Noble | Dietitian, Registered | 250 Fame Ave Ste 235, Hanover, PA 17331-1576 | 2016-04-07 |
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1588126098 | Ellen Loreck | Dietitian, Registered | 7556 Teague Rd Ste 210, Hanover, MD 21076-1941 | 2019-04-03 |
| 1346787892 | Wholesome 365 | Dietitian, Registered | 301 Clearview Rd, Hanover, PA 17331-1313 | 2017-01-23 |
| 1619384278 | Mary Ellen Everson | Dietitian, Registered | 49 Lyme Rd, Hanover, NH 03755-1205 | 2014-07-16 |
| 1891948741 | Julie Baumler Bosworth | Dietitian, Registered | 51 Mill St, Ste 8, Hanover, MA 02339-1651 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890985 | Catherine Grace York | Dietitian, Registered | 318 Pawtucket St Apt 301, Lowell, MA 01854-3426 | 2020-10-28 |
| 1922607738 | Victoria A Fabbo | Dietitian, Registered | 4 Winship Dr, Wakefield, MA 01880-2664 | 2020-10-22 |
| 1568061844 | Dana Jennifer Fryer | Dietitian, Registered | 258 Harvard St # 342, Brookline, MA 02446-2904 | 2020-10-19 |
| 1487252052 | Dalia Cohen | Dietitian, Registered | 91 Bynner St Apt 1, Boston, MA 02130-1010 | 2020-10-15 |
| 1710584701 | Elizabeth Ann Barth | Dietitian, Registered | 556 Commercial St Apt 1, Boston, MA 02109-1064 | 2020-10-03 |
| 1275130247 | Christine Charbonneau | Dietitian, Registered | 67 Sparrow Way, Raynham, MA 02767-6132 | 2020-10-02 |
| 1063029684 | Ryan John Gebo | Dietitian, Registered | 51 Pembroke Ave, Acushnet, MA 02743-2346 | 2020-09-28 |
| 1487261061 | Courtney Long | Dietitian, Registered | 6 Pillow Lace Ln, Ipswich, MA 01938-1018 | 2020-09-28 |
| 1356958003 | Cameron Allen Mcdonald | Dietitian, Registered | 567 Putnam Ave Apt 2, Cambridge, MA 02139-4834 | 2020-09-27 |
| 1780291674 | Alysia M Vega | Dietitian, Registered | 9 Prince St Apt 2, Boston, MA 02113-2402 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.