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JESSICA LAUREN THONGPARN RD
NPI 1093305674
Dietitian, Registered in Derby, CT

Active since January 19, 2021
204 NEW HAVEN AVE UNIT 8C, DERBY, CT 06418(860) 806-5013 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Lauren Thongparn Rd NPPES

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

JESSICA LAUREN THONGPARN RD (NPI 1093305674) is an individual dietitian, registered in Derby, Connecticut, licensed in Connecticut (957503) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1093305674
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA LAUREN THONGPARNCredential: RD
Location Address204 NEW HAVEN AVE UNIT 8CDerby, CT 06418-2150
Mailing Address204 New Haven Ave Unit 8cDerby, CT 06418-2150 · (860) 806-5013
Phone(860) 806-5013
Sole ProprietorYes
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1093305674 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 · 957503
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.
204 NEW HAVEN AVE UNIT 8C, Derby, CT 06418
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lauren Thongparn Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jessica Thongparn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speare Memorial Hospital
180 mi
Family Medicine
178 DANIEL WEBSTER HWY STE B
Meredith, NH 03253
NPI 1669161659 (603) 536-1120

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 Jessica Thongparn's NPI number?

The NPI number for Jessica Thongparn is 1093305674. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Jessica Thongparn located?

Jessica Thongparn practices at 204 New Haven Ave Unit 8C, Derby, CT 06418. The listed phone number is (860) 806-5013.

What is Jessica Thongparn's specialty?

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

Is Jessica Thongparn enrolled in Medicare?

Yes. Jessica Thongparn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Thongparn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Thongparn reassigns Medicare benefits to Speare Memorial Hospital (Meredith, NH). The 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 Jessica Thongparn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Thongparn accept?

Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care and WellSense Health Plan list Jessica Thongparn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Thongparn was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.