STACEY LYNN NELSON (NPI# 1225169394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225169394 |
| Entity Type | Individual |
| Full Name | STACEY LYNN NELSON |
| Credential | M.S., R.D., L.D.N. |
| Practice Address |
165 Cambridge St Mgh Nutrition Services Suite 402 Charles River Plaza Boston MA 02114-2783 |
| Practice Telephone | 6177240904 |
| Practice Fax Number | 6177264277 |
| Mailing Telephone | 6177240904 |
| Mailing Fax Number | 6177264277 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1270 | MA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489723 | Stacey D Nelson | Social Worker | 11048 Cardiff Ln, Frisco, TX 75035-6673 | 2015-06-17 |
| 1215346259 | Stacey Nelson | Counselor | 4215 9th Ave S, Fargo, ND 58103-2018 | 2014-08-04 |
| 1740546050 | Stacey Nelson | Licensed Practical Nurse | 2634 Pearl St, Detroit, MI 48209-3700 | 2012-04-11 |
| 1609942655 | Stacey Nelson | Social Worker | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2006-11-28 |
| 1033293279 | Stacey J Nelson | Marriage & Family Therapist | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2006-10-24 |
| 1598204109 | Stacey Nelson | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2017-02-15 |
| 1770839029 | Stacey Nelson | Registered Nurse | 1704 E Broadway Ave, Maryville, TN 37804 | 2012-07-24 |
| 1225384589 | Stacey White Nelson | Counselor | 1307 E Elm St, Athens, AL 35611-5318 | 2012-07-24 |
| 1760790828 | Stacey Lynn Nelson | Psychologist | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2010-09-22 |
| 1912187329 | Stacey Lynn Nelson | Nurse Anesthetist, Certified Registered | 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 | 2007-11-14 |
| Street Address |
165 CAMBRIDGE ST MGH NUTRITION SERVICES SUITE 402 CHARLES RIVER PLAZA |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462073 | Steven Hedden Gardner | Internal Medicine | 165 Cambridge St, Suite 501, Boston, MA 02114-2723 | 2005-10-26 |
| 1851859458 | Kara Ann Hunt | Physician Assistant | 165 Cambridge St, Boston, MA 02114-2783 | 2019-03-04 |
| 1215444526 | Erin Hoverson | Physician Assistant | 165 Cambridge St, Boston, MA 02114-2783 | 2018-01-08 |
| 1538696810 | Brook Ann Donovan | Nurse Practitioner | 165 Cambridge St, Boston, MA 02114-2783 | 2017-05-17 |
| 1255888152 | Louisa Paine | Dietitian, Registered | 165 Cambridge St, Suite 402, Boston, MA 02114-2783 | 2016-09-08 |
| 1588119705 | Laura Kim | Dietitian, Registered | 165 Cambridge St, Suite 402, Boston, MA 02114-2783 | 2016-08-17 |
| 1538510995 | Gianni Bono | Internal Medicine | 165 Cambridge St, Boston, MA 02114-2783 | 2016-06-28 |
| 1912367145 | Andrea Beth Kurkul | Registered Nurse | 165 Cambridge St, 5th Floor, Boston, MA 02114 | 2016-03-01 |
| 1598137853 | Andrea Krivelow | Dietitian, Registered | 165 Cambridge St, Suite 402, Boston, MA 02114-2783 | 2015-10-27 |
| 1831561505 | Marjorie Greenwell Clapp | Dietitian, Registered | 165 Cambridge St, Suite 402, Boston, MA 02114-2783 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1780291674 | Alysia M Vega | Dietitian, Registered | 9 Prince St Apt 2, Boston, MA 02113-2402 | 2020-09-25 |
| 1790399046 | Emily Gniado | Dietitian, Registered | 20 Willis St, Boston, MA 02125-1946 | 2020-09-03 |
| 1184238750 | Rachna Rajpal | Dietitian, Registered | 45 L St Unit 9, Boston, MA 02127-4720 | 2020-09-01 |
| 1922610823 | Jie Lan | Dietitian, Registered | 431 Melnea Cass Blvd Apt 207, Boston, MA 02119-3783 | 2020-08-20 |
| 1598373599 | Alexandra Klann | Dietitian, Registered | 599 Tremont St Apt 4, Boston, MA 02118-1689 | 2020-07-16 |
| 1750907267 | Heather Zeman | Dietitian, Registered | 84 Sutherland Rd Apt 12, Boston, MA 02135-7126 | 2020-06-20 |
| 1740804822 | Lauren Mcavoy | Dietitian, Registered | 1538 Tremont St Apt 3, Boston, MA 02120-3084 | 2020-06-03 |
| 1407478274 | Laura Louise Sanford Bantle | Dietitian, Registered | 75 Francis St # A, Boston, MA 02115-6110 | 2020-05-14 |
| Find all providers in BOSTON | ||||
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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.