KERRY MENDES (NPI# 1700147584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700147584 |
| Entity Type | Individual |
| Full Name | KERRY MENDES |
| Credential | M.S., R.D. |
| Practice Address |
1290 Tremont St Roxbury MA 02120-3432 |
| Practice Telephone | 6179893052 |
| Mailing Telephone | 6179893052 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 980686 | MA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124348370 | Kerry Mendes | Counselor | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2010-06-09 |
| Street Address |
1290 TREMONT ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02120-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340594 | Ashley Olivier | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2020-09-14 |
| 1750917480 | Xixi Zhou | Student in an Organized Health Care Education/Training Program | 1290 Tremont St, Roxbury, MA 02120-3432 | 2020-03-13 |
| 1124662960 | Nesreen Ghazi Jawhari | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-11-05 |
| 1447891858 | Asha Daniel Kunnenkeri | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-10-07 |
| 1003457763 | Jasmine F Haque-ahmed | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-10-03 |
| 1700448396 | Cristal Martin | Social Worker | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-07-03 |
| 1922669332 | Elsa Jimenez | Counselor | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-06-26 |
| 1891350419 | Nael Sayegh | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-05-08 |
| 1780248351 | Kimberly Phipps | Midwife | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-04-29 |
| 1477010197 | James Steven Rice | Nurse Practitioner | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| 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 |
|---|---|---|---|---|
| 1730269887 | Julie Elizabeth Garvin | Dietitian, Registered | 1800 Columbus Ave, Roxbury, MA 02119-1042 | 2006-10-16 |
| 1033617055 | Ana Lorena Rodriguez Escalante | Dietitian, Registered | 1290 Tremont St, Roxbury, MA 02120-3432 | 2018-01-24 |
| 1871731943 | Christopher Stephen Theberge | Dietitian, Registered | 435 Warren St, Roxbury, MA 02119-1833 | 2009-01-28 |
| 1558493874 | Siva Panchamoorthy | Dietitian, Registered | 59 Townsend St, Roxbury, MA 02119-1318 | 2007-03-12 |
| 1598893950 | Chuanchi Lin | Dietitian, Registered | 59 Townsend St, Roxbury, MA 02119-1318 | 2007-02-28 |
| 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 |
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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.