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JONATHAN CONTRERAS RD
NPI 1891366886
Dietitian, Registered in Brockton, MA

Active since July 09, 2021
72 TINA AVE, BROCKTON, MA 02302(781) 534-0108 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonathan Contreras Rd NPPES

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

JONATHAN CONTRERAS RD (NPI 1891366886) is an individual dietitian, registered in Brockton, Massachusetts, licensed in Massachusetts (4979-NU-NU) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1891366886
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJONATHAN CONTRERASCredential: RD
Location Address72 TINA AVEBrockton, MA 02302-1143
Mailing Address72 Tina AveBrockton, MA 02302-1143 · (781) 534-0108
Phone(781) 534-0108
Sole ProprietorYes
Enumeration DateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1891366886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MA · 4979-NU-NU
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.
Also ListedNutritionistTaxonomy 133N00000X · License 4979-NU-NU (MA)
72 TINA AVE, Brockton, MA 02302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Contreras Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Virginia Commonwealth University Health System Authority
465 mi
Clinical Medical Laboratory
403 NORTH 13TH STREET ROOM 611
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1962582015 (804) 828-6315

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 Jonathan Contreras's NPI number?

The NPI number for Jonathan Contreras is 1891366886. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Jonathan Contreras located?

Jonathan Contreras practices at 72 Tina Ave, Brockton, MA 02302. The listed phone number is (781) 534-0108.

What is Jonathan Contreras's specialty?

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

Is Jonathan Contreras enrolled in Medicare?

Yes. Jonathan Contreras is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Contreras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Contreras reassigns Medicare benefits to Virginia Commonwealth University Health System Authority (Richmond, VA). 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 Jonathan Contreras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Contreras was last updated on July 9, 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.