KATHRINA PRELACK (NPI# 1699324285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699324285 |
Entity Type | Individual |
Full Name | KATHRINA PRELACK |
Practice Address |
51 Blossom St Boston MA 02114-2601 |
Practice Telephone | 6173714756 |
Mailing Telephone | 6173714756 |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1891 | MA | Dietary & Nutritional Service Providers |
Street Address |
51 BLOSSOM ST |
City | BOSTON |
State | MA |
Zip Code | 02114-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881684314 | Alia Yousif Antoon | Pediatrics | 51 Blossom St, Boston, MA 02114-2601 | 2005-10-26 |
1265050355 | Alyssa Roberts | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2020-07-06 |
1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
1659853323 | Liza Gamelli | Social Worker | 51 Blossom St, Boston, MA 02114-2601 | 2018-08-30 |
1932680758 | Taya Zbell Cloonan | Social Worker | 51 Blossom St, Boston, MA 02114-2601 | 2018-08-29 |
1831688555 | The Shriners' Hospital for Children | Anesthesiology | 51 Blossom St, Boston, MA 02114-2601 | 2018-05-08 |
1538676929 | Carly Jean Francois | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2018-01-07 |
1871040584 | Courtney Halloran | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2016-09-10 |
1306213772 | Melissa Dipiro | Nurse Practitioner | 51 Blossom St, Boston, MA 02114 | 2015-09-01 |
1275930513 | Jillian Jewett Pasciucco | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2014-12-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
Find all providers in zip 02114 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487123121 | Lesley Frances Varone | Dietitian, Registered | 333 Longwood Ave # Lo415, Boston, MA 02115-5711 | 2018-11-23 |
1083244545 | Tina Joan Sun | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-23 |
1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
1467016857 | Allison Shaffer | Dietitian, Registered | 333 Longwood Ave Fl 4, Boston, MA 02115-5711 | 2019-05-01 |
1124511456 | Toni C Fiori | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-06-12 |
1174063432 | Melissa Mcdonnell | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2017-03-06 |
1053857540 | Sophia E. Burge | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2017-01-09 |
1710330477 | Jacqueline Marie Suarez | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-07-18 |
1144683392 | Lindsay Arnett | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2016-04-04 |
1881054823 | Yvette Penner | Dietitian, Registered | 800 Washington St, Box #44, Division of Newborn Medicine, Boston, MA 02111-1552 | 2016-03-03 |
Find all providers in BOSTON |
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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.