WELLPOINT HEALTH SOLUTIONS, LLC (NPI# 1336663798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336663798 |
| Entity Type | Organization |
| Organization Name | WELLPOINT HEALTH SOLUTIONS, LLC |
| Practice Address |
85 Post Office Park Wilbraham MA 01095-1247 |
| Mailing Address |
12 /cooley Dr Wilbraham MA 01095 |
| Practice Telephone | 4133742555 |
| Mailing Telephone | 4133742555 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Authorized Official Name | STACY FLICKNER-GARVEY (REGISTERED DIEITITAN/ OWNER) |
| Authorized Official Telephone | 4133742555 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | NU914 | MA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 914 | MA | Dietary & Nutritional Service Providers |
| Street Address |
85 POST OFFICE PARK |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528125655 | Stephen H Root | Dentist | 85 Post Office Park, Wilbraham, MA 01095-1247 | 2007-01-01 |
| 1548596398 | Western Mass Periodontics, LLC | Dentist | 85 Post Office Park, Suite 8503, Wilbraham, MA 01095-1247 | 2009-10-29 |
| 1811102379 | Wilbraham Family Dentistry, LLC | Dentist | 85 Post Office Park, Wilbraham, MA 01095-1247 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| 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 |
|---|---|---|---|---|
| 1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
| 1831655059 | Danielle Marie Bourque | Dietitian, Registered | 470 Main St, Wilbraham, MA 01095-2900 | 2019-02-12 |
| 1902361496 | Jenna Bernadette Esoo | Dietitian, Registered | 470 Main St, Wilbraham, MA 01095-2900 | 2019-02-08 |
| 1285199828 | Nicole A Chivas | Dietitian, Registered | 470 Main St, Wilbraham, MA 01095-2900 | 2019-02-07 |
| 1942434477 | Paula Jeanne Serafino-cross | Dietitian, Registered | 2141 Boston Rd, Wilbraham, MA 01095-1253 | 2009-05-12 |
| 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 | ||||
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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.