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JENNIFER N BACK RD, CDE
NPI 1770719973
Dietitian, Registered in Groton, CT

Active since June 03, 2009

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 7, 2025, Dec 30, 2019 (2 updates tracked since 2019).

About Jennifer N Back Rd, Cde NPPES

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

JENNIFER N BACK RD, CDE (NPI 1770719973) is an individual dietitian, registered in Groton, Connecticut, licensed in Connecticut (000670) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1770719973
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER N BACKCredential: RD, CDE
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324 · (860) 694-5212
Phone(860) 694-5212
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1770719973 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 · 000670
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.
1 WAHOO AVE, Groton, CT 06349
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Other Names 1

Former Name (1)Jennifer Neilson Rd, Cde

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.

WILLIAM DON MURPHY III IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
SARAH ELISABETH HIRSCHKOWITZ
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4026
COREY ROBIN WILFON
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
MATTHEW DAVID COOPER APRN
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
DR. MATTHEW BRADEN BURNS MILLER DDS
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3094
KORIN MESSINA RN
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2388
DR. JULIA JACOBS M.D.
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4496
DR. JIMMY NAZIH SULIMAN DDS
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3738

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 Jennifer Back's NPI number?

The NPI number for Jennifer Back is 1770719973. It was assigned to this individual provider in the NPPES registry on June 3, 2009. The provider is also known as Jennifer Neilson Rd, Cde.

Where is Jennifer Back located?

Jennifer Back practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-5212.

What is Jennifer Back's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Back was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.