MRS. KELLIE BERRY (NPI# 1639592629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639592629 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE BERRY |
| Credential | MS, RD, LDN |
| Practice Address |
10 Ox Rd Billerica MA 01821-4457 |
| Practice Telephone | 6175472255 |
| Mailing Telephone | 9784088812 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3216 | MA | Dietary & Nutritional Service Providers |
| Street Address |
10 OX RD |
| City | BILLERICA |
| State | MA |
| Zip Code | 01821-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828490 | Bh Brightview Concord River Opco, LLC | Alzheimer Center (Dementia Center) | 199 Concord River, Billerica, MA 01821 | 2019-12-12 |
| 1225503857 | Lori Ann Silva | Nurse Practitioner | 5 River Street, Billerica, MA 01821 | 2018-10-10 |
| 1255819090 | Kacie Dawn Melo | Counselor | Billerica Memorial High School 35 River St, Billerica, MA 01821 | 2018-08-03 |
| 1750889937 | Cassidy Erin Lapointe | Behavior Technician | 120 Pollard St, Billerica, MA 01821 | 2018-01-23 |
| 1679025993 | Shp Iv Concord River LLC | Alzheimer Center (Dementia Center) | 199 Concord Road, Billerica, MA 01821 | 2016-11-03 |
| 1790110393 | Michele Lee Krasinski | Registered Nurse | 100 Partridge Road, Billerica, MA 01821 | 2013-09-13 |
| 1538591573 | Riverside Community Care | Community/Behavioral Health | 5 Riverhurst Road Apartment 516, Billerica, MA 01821 | 2013-08-01 |
| 1780029900 | Stephen D Fell | Hearing Instrument Specialist | 26 Mount Vernon Avenue, Billerica, MA 01821 | 2013-05-01 |
| 1578822268 | Akhtar Khan | Dentist | 8 Tower Farm Rd., Billerica, MA 01821 | 2012-05-15 |
| 1942584578 | Mary Louise Kellerman | Dental Hygienist | 38 Pratt St., Billerica, MA 01821 | 2011-09-30 |
| Find all providers in zip 01821 | ||||
| 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 |
|---|---|---|---|---|
| 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.