BOSTON FUNCTIONAL NUTRITION (NPI# 1609266931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609266931 |
| Entity Type | Organization |
| Organization Name | BOSTON FUNCTIONAL NUTRITION |
| Practice Address |
97 Lowell Rd Millbrook Tarry Concord MA 01742-1733 |
| Mailing Address |
68 Virginia Farme Ln Carlisle MA 01741-1302 |
| Practice Telephone | 6176507572 |
| Practice Fax Number | 8888355844 |
| Mailing Telephone | 6176507572 |
| Mailing Fax Number | 8888355844 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | AYLA WITHEE (OWNER) |
| Authorized Official Telephone | 6176507572 |
| Authorized Official Credential | RD, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2715 | MA | Dietary & Nutritional Service Providers |
| Street Address |
97 LOWELL RD MILLBROOK TARRY |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421754 | Richard C Kaiser | Psychiatry & Neurology | 97 Lowell Rd, Floor 2, Concord, MA 01742-1733 | 2006-06-05 |
| 1154850493 | Joanna Radziejowska | Dietitian, Registered | 97 Lowell Rd, Concord, MA 01742-1733 | 2017-06-09 |
| 1770888562 | Caleb Newman-polk | Psychologist | 97 Lowell Rd, Concord, MA 01742-1733 | 2011-01-25 |
| 1255561494 | Ayla Mariel Barmmer | Dietary Manager | 97 Lowell Rd, Concord, MA 01742-1733 | 2009-07-22 |
| 1366678609 | Virginia Sherwood | Counselor | 97 Lowell Rd, Concord, MA 01742-1733 | 2009-06-01 |
| 1275705055 | Colette M Coleman | Social Worker | 97 Lowell Rd, Concord, MA 01742-1733 | 2008-04-01 |
| 1831374404 | Concord Chiropractic Inc. | Chiropractor | 97 Lowell Rd, Concord, MA 01742-1733 | 2008-01-02 |
| 1235263880 | Jessica Berkowitz | Social Worker | 97 Lowell Rd, Concord, MA 01742-1733 | 2007-03-15 |
| 1619024445 | John G Kinsman | Chiropractor | 97 Lowell Rd, Concord, MA 01742-1733 | 2007-01-04 |
| 1972668374 | Richard C Kaiser Md LLC | Psychiatry & Neurology | 97 Lowell Rd, Floor 2, Concord, MA 01742-1733 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| 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 |
|---|---|---|---|---|
| 1447879234 | Corry Akbarian | Dietitian, Registered | 1313 Glenwood Dr, Concord, CA 94518-1513 | 2020-04-11 |
| 1619531167 | Nutrition Works Nh LLC | Dietitian, Registered | 18 N Main St Ste 304, Concord, NH 03301-4926 | 2019-04-30 |
| 1891252110 | Chiara Maria Estes | Dietitian, Registered | 40 E Sugar Ball Rd, Concord, NH 03301-5803 | 2019-02-22 |
| 1083182810 | Natalie Hilts | Dietitian, Registered | 11 Robin Rd, Concord, NH 03301-7894 | 2018-11-09 |
| 1144798125 | Janet Greer-carney | Dietitian, Registered | 76 Centre St, Concord, NH 03301-4141 | 2018-11-07 |
| 1871010876 | Day2day Nutrition, LLC | Dietitian, Registered | 102 Pleasant St Ste 2, Concord, NH 03301-3863 | 2017-08-29 |
| 1225570203 | Tszwing Ho | Dietitian, Registered | 1706 Gyger Ct, Concord, CA 94521-2249 | 2016-11-08 |
| 1851749915 | Christine Munoz | Dietitian, Registered | 10981 Aspen Ridge Ln Nw, Concord, NC 28027-2962 | 2016-05-31 |
| 1023415460 | Camp Thoreau Inc | Dietitian, Registered | 275 Forest Ridge Rd, Concord, MA 01742-3830 | 2014-12-01 |
| 1841692142 | Halley Rust | Dietitian, Registered | 18 Foundry St Ste 101, Concord, NH 03301-5421 | 2014-09-18 |
| Find all providers in CONCORD | ||||
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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.