LIVE NUTRITION INC (NPI# 1548221682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548221682 |
| Entity Type | Organization |
| Organization Name | LIVE NUTRITION INC |
| Practice Address |
26 Wampum Dr Brewster MA 02631-1956 |
| Mailing Address |
26 Wampum Dr Po Box 1709 Brewster MA 02631-1956 |
| Practice Telephone | 5088969080 |
| Practice Fax Number | 5088963399 |
| Mailing Telephone | 5088969080 |
| Mailing Fax Number | 5088963399 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | MS. MARGARET DAVIS (NUTRITIONISST OWNER) |
| Authorized Official Telephone | 5088969080 |
| Authorized Official Credential | MS,RD,LDN,FADA,C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | NU445 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSACHUSETTS LICENSE | NU445 | 01 |
| Street Address |
26 WAMPUM DR |
| City | BREWSTER |
| State | MA |
| Zip Code | 02631-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467736033 | Rachel Dyer Pernick | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2011-09-30 |
| 1508068180 | Abigail Usen Berner | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2007-06-05 |
| 1033160080 | Margaret Davis | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1669972790 | Julie Lynne Mollica | Social Worker | 456 Flax Pond Road, Brewster Treatment Program, Old Colony Ymca, Brewster, MA 02631 | 2018-02-15 |
| 1295244168 | Michele Louise Oconnor | Occupational Therapist | 1721 Long Pond Road, Brewster, MA 02631 | 2017-09-23 |
| 1356799902 | Katherine Drach Reilly | Behavioral Analyst | 63 Brook Trail Rd, Brewster, MA 02631 | 2016-05-24 |
| 1407214901 | Md Visits LLC | Emergency Medicine | 162 Highland Moors Dr., Brewster, MA 02631 | 2016-01-29 |
| 1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
| 1518238609 | Pleasant Bay Health and Wellness Center LLC | Physical Therapist | 64 Woodlands Way, Brewster, MA 02631 | 2012-01-20 |
| 1184740953 | Jacs Ops IIi, Inc | Assisted Living Facility | 855 Harwich Road, Brewster, MA 02631 | 2007-03-22 |
| 1184763997 | Beverly Ann Biondi | Physical Therapist | 84 Underpass Rd, Brewster, MA 02631 | 2007-02-06 |
| 1679646384 | Paul James Tausek | Social Worker | 25 Breakwater Rd, Brewster, MA 02631 | 2006-11-17 |
| Find all providers in zip 02631 | ||||
| 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 |
|---|---|---|---|---|
| 1831342161 | Lisa Notaro-pane | Dietitian, Registered | 907 Somerset Knoll, Brewster, NY 10509 | 2008-10-30 |
| 1568628196 | Michele Gunnison | Dietitian, Registered | 110 Vails Lake Shore Dr, Brewster, NY 10509-1725 | 2008-08-04 |
| 1922041300 | Courtney Rose Driscoll | Dietitian, Registered | 26 Wampum Drive, Brewster, MA 02631 | 2006-06-14 |
| 1467736033 | Rachel Dyer Pernick | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2011-09-30 |
| 1508068180 | Abigail Usen Berner | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2007-06-05 |
| 1417099391 | Jean Ann Ekvall | Dietitian, Registered | 520 W Indian Ave, Brewster, WA 98812 | 2007-02-13 |
| 1033160080 | Margaret Davis | Dietitian, Registered | 26 Wampum Dr, Brewster, MA 02631-1956 | 2006-05-15 |
| 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.