MARLENE O'DONNELL (NPI# 1316910235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316910235 |
| Entity Type | Individual |
| Full Name | MARLENE O'DONNELL |
| Credential | RD |
| Practice Address |
111 Grossman Dr Braintree MA 02184-4997 |
| Practice Telephone | 6176296444 |
| Mailing Telephone | 6176296444 |
| Mailing Fax Number | 6176296070 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1403 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0015208 | 01 |
| MA | TUFTS HEALTH PLAN | 680078 | 01 |
| MA | BLUE CROSS | LD0111 | 01 |
| MA | HARVARD PILGRIM | PQ116 | 01 |
| Street Address |
111 GROSSMAN DR |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-4997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352338 | Christopher Teitleman | Internal Medicine | 111 Grossman Dr, Braintree, MA 02184-4997 | 2005-08-02 |
| 1033550157 | Scott M Souther | Internal Medicine | 111 Grossman Dr, Braintree, MA 02184-4997 | 2013-07-17 |
| 1740575067 | Mehnaz Khan | Ophthalmology | 111 Grossman Dr, Braintree, MA 02184-4997 | 2011-06-15 |
| 1659670669 | Julie M Carragher | Nurse Practitioner | 111 Grossman Dr, Braintree, MA 02184-4997 | 2011-03-17 |
| 1508194622 | Veronica R Kane | Nurse Practitioner | 111 Grossman Dr, Pediatric Clinic, Braintree, MA 02184-4997 | 2009-12-01 |
| 1003044272 | Elise Rebecca Bender | Family Medicine | 111 Grossman Dr, Braintree, MA 02184-4997 | 2009-06-26 |
| 1508094772 | David Dildine | Family Medicine | 111 Grossman Dr, Family Medicine, Braintree, MA 02184-4997 | 2009-06-26 |
| 1457526006 | Tonya M Campbell | Nurse Practitioner | 111 Grossman Dr, Internal Medicine, Braintree, MA 02184-4997 | 2008-04-24 |
| 1427248558 | Lini S Bhatia | Internal Medicine | 111 Grossman Dr, Internal Medicine, Braintree, MA 02184-4997 | 2007-07-25 |
| 1902015266 | Hagen Yang | Psychiatry & Neurology | 111 Grossman Dr, Braintree, MA 02184-4997 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| 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 |
|---|---|---|---|---|
| 1770049678 | Denise Nicole Samaroo | Dietitian, Registered | 150 Grossman Dr # 404, Braintree, MA 02184-4952 | 2019-02-15 |
| 1194059865 | Nicole Lynne Tierney | Dietitian, Registered | 46 Bv French St, Braintree, MA 02184-4850 | 2009-09-28 |
| 1770752719 | Nadia Lubman | Dietitian, Registered | 21 Tremont St, Braintree, MA 02184-5443 | 2008-02-25 |
| 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 |
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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.