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MARY ANN GRAHAM MSRD LDN NPI 1942318571


NPI Information

NPI: 1942318571
Provider Name: MARY ANN GRAHAM, MSRD LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
630 PLANTATION STREET
WORCESTER, MA
ZIP 01605
Phone: (508) 852-6175
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Mary Ann Graham, MSRD LDN is a dietitian registered in Worcester, MA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Mary Ann Graham, MSRD LDN NPI is 1942318571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 PLANTATION STREET
WORCESTER, MA
ZIP 01605
Phone: (508) 852-6175
Fax: (508) 595-2941

The enumeration date for this NPI number is 8/25/2006 and was last updated on 2/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionist216MASSACHUSETTSNo
2133V00000XDietitian, Registered216MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LD0142OTHERBLUE CROSS
2MT0708MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3042472266OTHERTHREE RIVERS
47856570OTHERAETNA US HEALTHCARE
567850OTHERFALLON COMMUNITY HEALTH P
6AA16843OTHERHARVARD PILGRIM HEALTHCAR
7MT0708OTHERMEDICARE B
8042472266OTHERPRIVATE HEALTHCARE SYSTEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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