JULIENNE FLORIVAL DESRAVINES (NPI# 1033569934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033569934 |
| Entity Type | Individual |
| Full Name | JULIENNE FLORIVAL DESRAVINES |
| Other Name | JULIENNE FLORIVAL |
| Credential | RDN LDN |
| Practice Address |
113 Williams Rd Ashburnham MA 01430 |
| Mailing Address |
113 Williams Rd Ashburnham MA 01430-1664 |
| Practice Telephone | 8572460911 |
| Mailing Telephone | 8572460911 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 2304 | MA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 2304 | MA | Dietary & Nutritional Service Providers |
| Street Address |
113 WILLIAMS RD |
| City | ASHBURNHAM |
| State | MA |
| Zip Code | 01430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373789 | Rebecca Caitlin Boucher | Behavior Technician | 10 Russell Avenue, Ashburnham, MA 01430 | 2020-07-14 |
| 1215263413 | Albert Kwang Lee | Pharmacist | 63a Main St., Ashburnham, MA 01430 | 2009-10-22 |
| 1376785196 | Family Pharmacy Ltc Inc | Pharmacy | 63a Main Street, Ashburnham, MA 01430 | 2009-03-25 |
| 1720100431 | Denise H Gosselin | Registered Nurse | 19 Whitney Dr, Ashburnham, MA 01430 | 2007-04-04 |
| 1972638567 | Raymond S Levesque | Social Worker | Mclean Hospital At Naukeag, 216 Lake Road, Ashburnham, MA 01430 | 2007-02-22 |
| 1558445825 | Andrew D Gill | Psychiatry & Neurology | Mclean Hospital @ Naukeag, 216 Lake Road, Ashburham, MA 01430 | 2006-10-24 |
| 1093359895 | Catherine Whitaker | Nurse Practitioner | 61 Main St, Ashburnham, MA 01430 | 2019-11-05 |
| 1225106040 | Susanna Mary Tierney | Nurse Practitioner | 61 Main Street, Po 658, Ashburnham, MA 01430 | 2006-12-01 |
| 1700987559 | Noreen S Conlon | Counselor | 486 Chestnut Street, Gardner`, MA 01430 | 2006-09-26 |
| 1881704294 | Victoria Lynn Peterson | Dentist | 61 Main St, Ashburnham, MA 01430 | 2006-08-30 |
| Find all providers in zip 01430 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336560895 | Lisa Faye | Dietitian, Registered | 53 Main St Fl 2, Ashburnham, MA 01430-1247 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890985 | Catherine Grace York | Dietitian, Registered | 318 Pawtucket St Apt 301, Lowell, MA 01854-3426 | 2020-10-28 |
| 1922607738 | Victoria A Fabbo | Dietitian, Registered | 4 Winship Dr, Wakefield, MA 01880-2664 | 2020-10-22 |
| 1568061844 | Dana Jennifer Fryer | Dietitian, Registered | 258 Harvard St # 342, Brookline, MA 02446-2904 | 2020-10-19 |
| 1487252052 | Dalia Cohen | Dietitian, Registered | 91 Bynner St Apt 1, Boston, MA 02130-1010 | 2020-10-15 |
| 1710584701 | Elizabeth Ann Barth | Dietitian, Registered | 556 Commercial St Apt 1, Boston, MA 02109-1064 | 2020-10-03 |
| 1275130247 | Christine Charbonneau | Dietitian, Registered | 67 Sparrow Way, Raynham, MA 02767-6132 | 2020-10-02 |
| 1063029684 | Ryan John Gebo | Dietitian, Registered | 51 Pembroke Ave, Acushnet, MA 02743-2346 | 2020-09-28 |
| 1487261061 | Courtney Long | Dietitian, Registered | 6 Pillow Lace Ln, Ipswich, MA 01938-1018 | 2020-09-28 |
| 1356958003 | Cameron Allen Mcdonald | Dietitian, Registered | 567 Putnam Ave Apt 2, Cambridge, MA 02139-4834 | 2020-09-27 |
| 1780291674 | Alysia M Vega | Dietitian, Registered | 9 Prince St Apt 2, Boston, MA 02113-2402 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | ASHBURNHAM |
| Zip Code | 01430 |
Please comment or provide details below to improve the information on JULIENNE FLORIVAL DESRAVINES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.