CHRISTOPHER STEPHEN THEBERGE (NPI# 1871731943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871731943 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER STEPHEN THEBERGE |
| Credential | RD |
| Practice Address |
435 Warren St Roxbury MA 02119-1833 |
| Practice Telephone | 6174427400 |
| Mailing Telephone | 6174427400 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2626 | MA | Dietary & Nutritional Service Providers |
| Street Address |
435 WARREN ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266533 | Roxbury Comprehensive Community Health Center, Inc. | Clinic/Center | 435 Warren St, Roxbury, MA 02119-1833 | 2007-01-02 |
| 1174872147 | Jeannie Marie Baca | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2012-09-05 |
| 1215290754 | Kandis Alexis Smith | Dentist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-06-20 |
| 1467724203 | Janet Cohen Zwiebel | Psychologist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-02-08 |
| 1720360134 | Katherine Thayer | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1134401540 | Rochelle James | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1487953329 | Jewell M Simmons | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-03-17 |
| 1861701534 | Michelle Lee Edwards | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-29 |
| 1437467636 | Liana Angele Papaleo | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-22 |
| 1528375854 | Safaa A Shaheen | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
| 1700147584 | Kerry Mendes | Dietitian, Registered | 1290 Tremont St, Roxbury, MA 02120-3432 | 2012-06-07 |
| 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.