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JMM WELLNESS, LLC
NPI 1023364981
Dietitian, Registered in Hamden, CT

Active since July 30, 2012
1952 WHITNEY AVE, HAMDEN, CT 06517(203) 641-3574 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jmm Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JMM WELLNESS, LLC (NPI 1023364981) is a healthcare organization registered as a dietitian, registered in Hamden, Connecticut and active in the NPI registry since July 2012. The organization lists Jacqueline Mary Mccullough, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1023364981
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameJMM WELLNESS, LLC
Location Address1952 WHITNEY AVEHamden, CT 06517-1209
Mailing Address143 Bunker Hill RdGuilford, CT 06437-1661
Phone(203) 641-3574
Organization SubpartNo
Authorized OfficialJacqueline Mary McculloughRegistered Dietitian · (203) 641-3574
Enumeration DateJuly 30, 2012
✔ NPI 1023364981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1952 WHITNEY AVE, Hamden, CT 06517
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jmm Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20130325000155Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jmm Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Mccullough, MS RD CDN
Registered Dietitian or Nutrition Professional
NPI 1356312771
2200 WHITNEY AVE SUITE 180
Hamden, CT 06518
(203) 407-2500
✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jmm Wellness, LLC's NPI number?

The NPI number for Jmm Wellness, LLC is 1023364981. It was assigned to this organization in the NPPES registry on July 30, 2012.

Where is Jmm Wellness, LLC located?

Jmm Wellness, LLC is located at 1952 Whitney Ave, Hamden, CT 06517. The listed phone number is (203) 641-3574.

What is Jmm Wellness, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jmm Wellness, LLC enrolled in Medicare?

Yes. Jmm Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Jmm Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jmm Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Jmm Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jmm Wellness, LLC was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.