|
| |
|
44 Portland St, Fl 4, Worcester, MA 01608-2023 | |
| (617) 249-3253 | |
| (866) 303-5661 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 44 Portland St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982209680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Sarah Canterman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003455080 PECOS PAC ID: 5092114835 Enrollment ID: I20210527000050 |
| Provider Name | Adi Tova Wyshogrod |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619449899 PECOS PAC ID: 4880136860 Enrollment ID: I20240823003912 |
| Provider Name | Kasandra P Reid |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033931365 PECOS PAC ID: 1658806906 Enrollment ID: I20241122001632 |
| Provider Name | Danielle Kuhn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679227813 PECOS PAC ID: 5294120416 Enrollment ID: I20241125003817 |
| Provider Name | Zainab Soofia Kazmi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053197640 PECOS PAC ID: 5193250967 Enrollment ID: I20241203002307 |
| Provider Name | Diana Gabriela Aguilera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457015869 PECOS PAC ID: 2264824523 Enrollment ID: I20241209003564 |
| Provider Name | Kristy Kenworthy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669208419 PECOS PAC ID: 7618403726 Enrollment ID: I20241212003279 |
| Mailing Address | Practice Location Address |
|---|---|
18 Kristin Rd, Plymouth, MA 02360-4945 Ph: (617) 249-3253 | 44 Portland St, Fl 4, Worcester, MA 01608-2023 Ph: (617) 249-3253 |
Ms. Ashley Jermaine Wight, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3411 | |
Lindsey M. Gesualdi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 630 Plantation St, Worcester, MA 01605 Phone: 508-852-6175 Fax: 508-595-2941 | |
Mackenzie Souza, MS, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3435 | |
Abigail Boatemaa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 978-868-7964 | |
Colleen Daly, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 60 Wrentham Rd, Worcester, MA 01602 Phone: 508-404-8103 | |
Jennifer Parker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1000 | |
Kasandra P Reid, RD Dietitian Medicare: Medicare Enrolled Practice Location: 44 Portland St Fl 1, Worcester, MA 01608 Phone: 617-249-3253 |