KRISTEN E WIDICAN


Address: 60 State St Ste 700, Boston, MA 02109-1894
Phone: 6175319149

KRISTEN E WIDICAN (NPI# 1932525474) 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) 1932525474
Entity Type Individual
Full Name KRISTEN E WIDICAN
Credential RDN
Practice Address 60 State St Ste 700
Boston
MA 02109-1894
Practice Telephone 6175319149
Mailing Telephone 6175319149
Enumeration Date 2014-03-07
Last Update Date 2014-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 3028 MA Dietary & Nutritional Service Providers

Office Location

Street Address 60 STATE ST STE 700
City BOSTON
State MA
Zip Code 02109-1894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245874346 Casey Elizabeth Costello Health Educator 60 State St Ste 700, Boston, MA 02109-1894 2019-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477167385 Hidden Gems Counseling LLC Clinic/Center 6 Liberty Sq, Pmb 452, Boston, MA 02109 2020-09-08
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1568925311 Robyn Kievit LLC Dietitian, Registered 112 Water Street Suite 203, Boston, MA 02109 2019-04-09
1023503786 Merissa Wright Behavior Technician 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 2018-06-26
1366961310 Christine Anna Corallino Nurse Practitioner 14 Foster Street, #3, Boston, MA 02109 2017-09-11
1609322858 Katelyn Patricia Cloutier Physical Therapist 4 Water Street, Boston, MA 02109 2016-08-28
1033546700 Haidang Truong Kelly Nurse Practitioner 147 Milk St Fl 3, Boston, MA 02109 2013-09-26
1467701821 One Medical Group, PC Internal Medicine 28 State Street, Suite 2850, Boston, MA 02109 2012-08-31
1326218397 Monica E. Zuniga Counselor 112 Water St Ste 203, Boston, MA 02109 2008-03-06
1124215298 Martin B Silverstein Internal Medicine 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 2007-10-02
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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
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
1780291674 Alysia M Vega Dietitian, Registered 9 Prince St Apt 2, Boston, MA 02113-2402 2020-09-25
1790399046 Emily Gniado Dietitian, Registered 20 Willis St, Boston, MA 02125-1946 2020-09-03
1184238750 Rachna Rajpal Dietitian, Registered 45 L St Unit 9, Boston, MA 02127-4720 2020-09-01
1922610823 Jie Lan Dietitian, Registered 431 Melnea Cass Blvd Apt 207, Boston, MA 02119-3783 2020-08-20
1598373599 Alexandra Klann Dietitian, Registered 599 Tremont St Apt 4, Boston, MA 02118-1689 2020-07-16
1750907267 Heather Zeman Dietitian, Registered 84 Sutherland Rd Apt 12, Boston, MA 02135-7126 2020-06-20
1740804822 Lauren Mcavoy Dietitian, Registered 1538 Tremont St Apt 3, Boston, MA 02120-3084 2020-06-03
1407478274 Laura Louise Sanford Bantle Dietitian, Registered 75 Francis St # A, Boston, MA 02115-6110 2020-05-14
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02109

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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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