NPI 1720917438 · live from the CMS NPI Registry
Jaelyn Angelo
Dietitian, Registered in Lexington, MA. National Provider Identifier 1720917438, active.
NPI record
| NPI | 1720917438 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 33 Bedford St Ste 20, Lexington, MA 02420 |
| Practice phone | 781-674-1189 |
| Mailing address | 31 Waitt Ave, Lynn, MA 01902 |
| Enumerated | May 18, 2026 |
| Last updated | July 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.