DEBORAH KONKLE (NPI# 1992873525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992873525 |
| Entity Type | Individual |
| Full Name | DEBORAH KONKLE |
| Practice Address |
518 Great Rd Acton MA 01720-3415 |
| Mailing Address |
949 Liberty Square Rd Boxborough MA 01719-1139 |
| Practice Telephone | 9782634878 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 368 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HP MNT | AA5412 | 01 |
| MA | TUFTS MNT | 771803 | 01 |
| MA | BCBS MNT | LD0069 | 01 |
| Street Address |
518 GREAT RD |
| City | ACTON |
| State | MA |
| Zip Code | 01720-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164479515 | Alison Mary Sheridan | Psychiatry & Neurology | 518 Great Rd, Acton, MA 01720-3415 | 2006-05-30 |
| 1700222098 | Karen E Ingerman | Social Worker | 518 Great Rd, Acton, MA 01720-3415 | 2013-05-14 |
| 1306998364 | Joan Bowen Carroll Cronin | Social Worker | 518 Great Rd, Acton, MA 01720 | 2007-01-18 |
| 1497807465 | Kerry Pugh Alexander | Social Worker | 518 Great Rd, Boundaries, Acton, MA 01720-3415 | 2007-01-18 |
| 1396897112 | Jessica Ronalds | Counselor | 518 Great Rd, Boundaries Therapy Center, Acton, MA 01720-3415 | 2007-01-18 |
| 1922162064 | Sarah Michaud | Psychologist | 518 Great Rd, Boundaries Therapy Center, Acton, MA 01720 | 2006-12-21 |
| 1083788897 | Lynn Marie Giles | Counselor | 518 Great Rd, Acton, MA 01720-3415 | 2006-11-20 |
| 1982775359 | Priscilla Tobey | Social Worker | 518 Great Rd, Boundaries Therapy Ctr, Acton, MA 01720-3415 | 2006-11-10 |
| 1558431361 | Madeleine Beth Drucker | Social Worker | 518 Great Rd, Boundaries Therapy Ct, Acton, MA 01720 | 2006-11-09 |
| 1073692398 | Renee E Deyoe | Social Worker | 518 Great Rd, Boundaries Therapy Ctr, Acton, MA 01720 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| 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 |
|---|---|---|---|---|
| 1073987806 | Shane Erica Lazar | Dietitian, Registered | 3223 Avalon Dr, Acton, MA 01720-3454 | 2015-11-17 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| 1497178008 | Pam Vlahakis | Dietitian, Registered | 547 Acorn Park Dr, Acton, MA 01720-4178 | 2014-02-03 |
| 1720181118 | Sandra Graham Peck | Dietitian, Registered | 481 Great Road, Suite 10, Acton, MA 01720 | 2006-09-07 |
| 1184726952 | Meera Boghani | Dietitian, Registered | 3 Sawmill Rd, Acton, MA 01720-5835 | 2006-09-02 |
| 1043820574 | Jessica Beler | Dietitian, Registered | 38 Prospect St, Acton, MA 01720-3621 | 2020-08-10 |
| 1346858933 | Sheryl Fox | Dietitian, Registered | 12 Elm St, Acton, MA 01720-2402 | 2020-07-20 |
| 1366081838 | Tealtrition, LLC | Dietitian, Registered | 20 Main St, Acton, MA 01720-3575 | 2020-01-02 |
| 1346716156 | Julie Teal | Dietitian, Registered | 20 Main St, Acton, MA 01720-3575 | 2018-10-18 |
| 1679949143 | Elizabeth R Berman | Dietitian, Registered | 321 Main St, Acton, MA 01720-3718 | 2015-08-19 |
| Find all providers in ACTON | ||||
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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.