NUTRITION FACTORY, LLC (NPI# 1366718355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366718355 |
| Entity Type | Organization |
| Organization Name | NUTRITION FACTORY, LLC |
| Practice Address |
68 Main St Suite 3 Andover MA 01810-3846 |
| Practice Telephone | 9784744478 |
| Practice Fax Number | 9789259127 |
| Mailing Telephone | 9784744478 |
| Mailing Fax Number | 9789259127 |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |
| Authorized Official Name | SHELLEY ANN WOOLSEY (CO OWNER) |
| Authorized Official Telephone | 9784744478 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MA | Dietary & Nutritional Service Providers |
| Street Address |
68 MAIN ST SUITE 3 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531258 | Jeffrey Keating | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2020-09-05 |
| 1922617091 | Barbara Dwumfour Davis | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2020-07-24 |
| 1952961583 | Hannah Webb Roberts | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2019-06-17 |
| 1063983690 | Lisa Ann Kazakis | Nurse Practitioner | 68 Main St, Andover, MA 01810 | 2018-12-07 |
| 1053730853 | Kaitlin Johnson | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2014-04-09 |
| 1255767729 | Amanda Sanderson | Nurse Practitioner | 68 Main St, Andover, MA 01810-3846 | 2013-09-17 |
| 1962786004 | Eating Disorder Center of Andover, LLC | Marriage & Family Therapist | 68 Main St, 5, Andover, MA 01810-3846 | 2011-10-07 |
| 1538476411 | Karin Susan Lewis | Marriage & Family Therapist | 68 Main St, Suite 3, Andover, MA 01810-3846 | 2010-09-13 |
| 1538292065 | Crystal Christophersen | Counselor | 68 Main St, Suite #3, Andover, MA 01810-3846 | 2007-03-13 |
| 1033218482 | Cvs Pharmacy Inc | Pharmacy | 68 Main St, Andover, MA 01810-3846 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| 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 |
|---|---|---|---|---|
| 1538776422 | Michele Keethler | Dietitian, Registered | 1842 N Columbine, Andover, KS 67002-8113 | 2020-09-25 |
| 1013564020 | Shana Cables | Dietitian, Registered | 1426 E Timber Falls Ct, Andover, KS 67002-7917 | 2019-08-23 |
| 1093201931 | Brittany Kelley | Dietitian, Registered | 307 Lowell St, Andover, MA 01810-4501 | 2018-07-03 |
| 1215354311 | Nina Rocca | Dietitian, Registered | 5 Binney St, Andover, MA 01810-1301 | 2014-03-26 |
| 1871935726 | Christin Marie Saucier | Dietitian, Registered | 68 Main St Ste 3, Andover, MA 01810-3834 | 2013-07-19 |
| 1043585235 | Jennifer Pratt Mosher | Dietitian, Registered | 9 Locke St, Andover, MA 01810-4023 | 2012-03-20 |
| 1225219124 | Frances Baker Peterson | Dietitian, Registered | 39 Lovejoy Rd, Andover, MA 01810-4521 | 2007-11-19 |
| 1720209836 | Katherine Mary Von Ehr | Dietitian, Registered | 38 Dufton Rd, Andover, MA 01810-2716 | 2007-05-02 |
| 1245369149 | Rhys Wyman | Dietitian, Registered | 68 Main Street #3, Andover, MA 01810 | 2007-03-05 |
| 1629250865 | Linda Piette | Dietitian, Registered | 32 Osgood St, Andover, MA 01810-5411 | 2007-11-29 |
| Find all providers in ANDOVER | ||||
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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.