NPI 1598248486 · live from the CMS NPI Registry
Jordan Leslie Badger, RD
Dietitian, Registered in Boston, MA. National Provider Identifier 1598248486, active.
NPI record
| NPI | 1598248486 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 635 Commonwealth Ave Fl 6, Boston, MA 02215 |
| Practice phone | 617-353-2721 |
| Enumerated | September 7, 2018 |
| Last updated | September 7, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4500 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.