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JACQUELYN DAVIS
NPI 1023669439
Dietitian, Registered in Bridgeport, CT

Active since September 26, 2019
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-4553 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacquelyn Davis NPPES

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

JACQUELYN DAVIS (NPI 1023669439) is an individual dietitian, registered in Bridgeport, Connecticut, licensed in Connecticut (1723) and active in the NPI registry since September 2019. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1023669439
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACQUELYN DAVIS
Location Address267 GRANT STBridgeport, CT 06610-2805
Mailing Address267 Grant StBridgeport, CT 06610-2805
Phone(203) 384-4553
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2019
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1023669439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CT · 1723
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.
267 GRANT ST, Bridgeport, CT 06610
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Other Names 1

Former Name (1)Jacquelyn Bucci

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961981527
PECOS Enrollment IDI20260204003228

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEX SCOTT CADAN PA-C
Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4500
RYAN KEENAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DR. BLAZE KELLY DO
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARINA K. LINCER
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DOROTHY D. DAPONTE
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
MISS SANDRA SHIPKOWITZ APRN
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4490
HOLLY S. ASHBY
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
TESSA GURALNICK DPT
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3708

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 Jacquelyn Davis's NPI number?

The NPI number for Jacquelyn Davis is 1023669439. It was assigned to this individual provider in the NPPES registry on September 26, 2019. The provider is also known as Jacquelyn Bucci.

Where is Jacquelyn Davis located?

Jacquelyn Davis practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-4553.

What is Jacquelyn Davis's specialty?

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

Is Jacquelyn Davis enrolled in Medicare?

Yes. Jacquelyn Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Davis was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.