TAMARA LUCK


Address: 577 Main St, Waltham, MA 02452-5527
Phone: 7818933870

TAMARA LUCK (NPI# 1679044291) 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) 1679044291
Entity Type Individual
Full Name TAMARA LUCK
Credential RD, LDN
Practice Address 577 Main St
Waltham
MA 02452-5527
Practice Telephone 7818933870
Enumeration Date 2018-12-07
Last Update Date 2018-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers TAMARA LUCK

NPI Name Taxonomy Address Enumeration
1992031835 Tamara Rachelle Luck Massage Therapist 303 S East St, Edina, MO 63537-1543 2009-10-28

Office Location

Street Address 577 MAIN ST
City WALTHAM
State MA
Zip Code 02452-5527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598376840 Alora L Frederick Dietitian, Registered 577 Main St, Waltham, MA 02452-5527 2020-08-11
1558531244 A & J Compounding Inc Pharmacy 577 Main St, Waltham, MA 02452-5527 2008-03-10
1497934194 Gary L Kracoff Pharmacist 577 Main St, Waltham, MA 02452-5527 2007-10-30
1902827959 S and D Bernardi Inc Pharmacy 577 Main St, Waltham, MA 02452-5527 2006-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346894896 Nsea Macipa LLC Ophthalmology 135 Beaver Street Ste 309, Waltham, MA 02452 2019-08-01
1750879383 Rosemary Klein Psychologist Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 2018-04-30
1497256374 Chithra Susan Kuriakose Nurse Practitioner Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 2018-02-26
1861883001 Melanie H Deveikas Physical Therapist 425 Waverley Oaks Rd, Waltham, MA 02452 2015-02-10
1770992059 Hope Elisabeth Forbes Psychologist 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 2014-08-12
1326462557 Ann M Fletcher Social Worker 100 Church St., Waltham, MA 02452 2014-02-07
1801239397 Rainbow Adhc of Waltham Clinic/Center 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 2013-04-15
1356689335 Jessica M Liberty Physical Therapist 425 Waverley Oaks Rd., Waltham, MA 02452 2013-01-25
1386946960 Janyce M Gately Dietitian, Registered 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 2010-12-02
1265618839 Anita Lynn Hurd Registered Nurse 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 2008-01-14
Find all providers in zip 02452

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
1477175131 Jenifer La Dietitian, Registered 218 School St, Waltham, MA 02451-4551 2020-05-15
1902459233 Laila Shanaa Dietitian, Registered 109 Cushing St, Waltham, MA 02453-0426 2019-07-16
1477034874 Rebecca Rand Dietitian, Registered 411 Waverley Oaks Rd Ste 200, Waltham, MA 02452-8437 2018-08-23
1225486269 Tara Holmes Dietitian, Registered 85 Wetherbee Rd, Waltham, MA 02453-7624 2016-06-01
1649655721 Laura Moretti Dietitian, Registered 20 Hope Ave Ste G10, Waltham, MA 02453-2717 2015-07-30
1215335609 Amy Campbell Dietitian, Registered 65 Fairmont Ave, Waltham, MA 02453-7725 2014-12-17
1770914020 Ruth Fitzgerald Dietitian, Registered 85 Cherry St, Apt 3, Waltham, MA 02453-3935 2013-12-11
1851664767 Comprehensive Psychiatric Resources Dietitian, Registered 203 Crescent St, Suite 110, Waltham, MA 02453 2012-02-23
1386946960 Janyce M Gately Dietitian, Registered 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 2010-12-02
1598376840 Alora L Frederick Dietitian, Registered 577 Main St, Waltham, MA 02452-5527 2020-08-11
Find all providers in WALTHAM

Competitor

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City WALTHAM
Zip Code 02452

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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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