MEDICARE: JACQUELINE HORNE RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1851073258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE HORNE RD

Provider Business Mailing Address
First Line	:	219 BROOKLAWN TER
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06825-1709
Country	:	US
Telephone Number	:	203-482-7544
Fax Number	:

Provider Business Practice Location Address
First Line	:	544 RIVERSIDE AVE STE 2
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-5732
Country	:	US
Telephone Number	:	203-557-4554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	08/04/2023

Similar Medicare Providers

1275953358 — MRS. LAURIE NELSON AUSTIN M.S.S.A., LCSW
Practice Location Address:

544 RIVERSIDE AVE STE 7
WESTPORT, CT
06880-5732

Practice Phone: 203-451-2636
Practice Fax:

1265107254 — MR. SHELDON LEE STOVALL
Practice Location Address:

500 POST RD E STE 265
WESTPORT, CT
06880-4431

Practice Phone: 212-203-1773
Practice Fax:

1619642113 — VITORIA BASORA APRN
Practice Location Address:

8 WRIGHT ST STE 107
WESTPORT, CT
06880-3114

Practice Phone: 475-252-5723
Practice Fax: 475-275-7166

1770418352 — LAINA CELIA CAMPOS
Practice Location Address:

1137 POST RD E
WESTPORT, CT
06880-5433

Practice Phone: 203-644-4507
Practice Fax:

1023628153 — JESSICA PAULA GAMACHE LBA, BCBA
Practice Location Address:

16 TAYLOR PL
WESTPORT, CT
06880-4313

Practice Phone: 203-529-5123
Practice Fax: 888-761-5161

1447184486 — THOMAS MICHAEL GREEN
Practice Location Address:

19 OLD MILL RD
WESTPORT, CT
06880-6622

Practice Phone: 203-216-1800
Practice Fax:

Directions to “ JACQUELINE HORNE RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.