TAMARA LUCK (NPI# 1679044291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992031835 | Tamara Rachelle Luck | Massage Therapist | 303 S East St, Edina, MO 63537-1543 | 2009-10-28 |
| Street Address |
577 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-5527 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.