STEPHANIE SUDJIAN (NPI# 1033667704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033667704 |
| Entity Type | Individual |
| Full Name | STEPHANIE SUDJIAN |
| Practice Address |
1500 District Ave Burlington MA 01803-5069 |
| Mailing Address |
118 Fayette St Watertown MA 02472-3708 |
| Practice Telephone | 6102021794 |
| Mailing Telephone | 6102021794 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 4137 | MA | Dietary & Nutritional Service Providers |
| Street Address |
1500 DISTRICT AVE |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487863783 | Holly Gelfond Mizutani | Clinical Nurse Specialist | 1500 District Ave, Burlington, MA 01803-5069 | 2007-05-22 |
| 1700372703 | Fuel for Life | Dietitian, Registered | 1500 District Ave, Burlington, MA 01803 | 2018-07-03 |
| 1801385380 | New England Executive Care | Internal Medicine | 1500 District Ave, Burlington, MA 01803-5069 | 2018-05-09 |
| 1407384381 | Leroy K Ullrich | Pharmacy | 1500 District Ave, Burlington, MA 01803-5069 | 2017-05-23 |
| 1821548637 | Oakmontscript Lp | Pharmacy | 1500 District Ave, Burlington, MA 01803-5069 | 2016-10-05 |
| 1710431598 | The Wesley Hospice Care LLC | Hospice Care, Community Based | 1500 District Ave, Burlington, MA 01803-5069 | 2016-08-09 |
| 1598127573 | Spire Home Health Care Agency LLC | Home Health | 1500 District Ave, 2042, Burlington, MA 01803-5069 | 2016-03-28 |
| 1386012821 | Home Health Plus LLC | Home Health | 1500 District Ave, Burlington, MA 01803-5069 | 2015-09-14 |
| 1023494424 | Compassionate Health Care Providers LLC | Home Health | 1500 District Ave, Burlington, MA 01803-5069 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| 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 |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1861001968 | Melissa Gallagher | Dietitian, Registered | 20 Vaughn Way, Burlington, NJ 08016-3441 | 2020-07-24 |
| 1982228193 | Suzanne Mae Bowser | Dietitian, Registered | 973 Lane 38, Burlington, WY 82411-9700 | 2020-06-03 |
| 1205469772 | Hope Carter Seggelink | Dietitian, Registered | 163 Bayberry Cir Unit 204, Burlington, VT 05401-5510 | 2020-02-12 |
| 1366080160 | Jessica L Pashko | Dietitian, Registered | 33 N Prospect St, Burlington, VT 05401-3339 | 2019-12-12 |
| 1831685494 | Allison E Filepp | Dietitian, Registered | 84 West Rd Apt B, Burlington, VT 05408-2401 | 2018-07-07 |
| 1427558444 | Lisa Balestrino | Dietitian, Registered | 1238 Grand Oaks Blvd, Burlington, NC 27215-8146 | 2018-02-16 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1184170904 | Amy Sercel | Dietitian, Registered | 193 Saint Paul St Unit 302, Burlington, VT 05401-5913 | 2016-08-31 |
| 1336584036 | Stephanie Leigh Crutchfield | Dietitian, Registered | 514 Fordham Ave, Burlington, NJ 08016-2314 | 2013-05-08 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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| 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.