KRISTEN VICIDOMINO


Address: 947 Chestnut St, Unit 3, Newton, MA 02464-1101
Phone: 5084466808

KRISTEN VICIDOMINO (NPI# 1427452358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427452358
Entity Type Individual
Full Name KRISTEN VICIDOMINO
Credential MS, RD, LDN
Practice Address 947 Chestnut St
Unit 3
Newton
MA 02464-1101
Practice Telephone 5084466808
Enumeration Date 2014-10-21
Last Update Date 2014-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 3532 MA Dietary & Nutritional Service Providers

Office Location

Street Address 947 CHESTNUT ST
UNIT 3
City NEWTON
State MA
Zip Code 02464-1101

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1275089880 Carole Calderon Social Worker 28 Richardson Road, Newton Upper Falls, MA 02464 2016-09-01
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1851780936 Katrina Maclean X Behavioral Analyst 109 Oak Street Suite G10, Newton, MA 02464 2015-01-13
1447555909 Sarah Russell Speech-Language Pathologist 43 River Ave, Newton Upper Falls, MA 02464 2011-01-14
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528671526 Lauren Grilli Glidden Dietitian, Registered 58 Westminster Rd, Newton, MA 02459-2355 2020-08-28
1558972976 Stacie Delucia Dietitian, Registered 181 Wells Ave Ste 202, Newton, MA 02459-3344 2020-08-10
1033738075 Jacqueline Santiago Dietitian, Registered 15 Albemarle Rd, Newton, MA 02460-1105 2020-04-09
1366086639 Kahm Clinic LLC Dietitian, Registered 288 Walnut St Ste 412, Newton, MA 02460-1994 2019-10-30
1821560376 Sarah Visocky Dietitian, Registered 2214 Robinson Rd, Newton, NC 28658-9519 2018-12-21
1366931610 Jessica Edelglass Rd LLC Dietitian, Registered 1121 Washington St Ste 4, Newton, MA 02465-2150 2018-05-02
1912416066 Katelyn Castro Dietitian, Registered 1400 Centre St Ste 207, Newton, MA 02459-2415 2017-09-20
1700326329 Julia Sementelli Dietitian, Registered 26 Clinton St, Apt 2, Newton, MA 02458-1212 2017-03-01
1700203577 Rachel Cohen Dietitian, Registered 108 Hagen Rd, Newton, MA 02459-2755 2014-03-18
1134487465 Denise Lee Courtney Dietitian, Registered 128 Linwood Ave, Newton, MA 02460-1427 2012-04-24
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City NEWTON
Zip Code 02464

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Dataset Information

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.

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