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UMASS MEMORIAL HEALTH CARE INC. NPI 1104488170


NPI Information

NPI: 1104488170
Provider Name: UMASS MEMORIAL HEALTH CARE, INC.
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 22D2002850

Address:
157 UNION ST
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 481-5000
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UMASS MEMORIAL HEALTH CARE, INC. is a dietitian registered in Marlborough, 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. UMASS MEMORIAL HEALTH CARE, INC. NPI is 1104488170. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 UNION ST
MARLBOROUGH, MA
ZIP 01752-228
Phone: (508) 481-5000

The provider's authorized official is Debra M Wooldridge .
The authorized official title is Supervisor, Provider Enrollment and has the following contact phone number (508) 334-8890.

The CLIA number assigned to this NPI record is 22D2002850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2019 and was last updated on 7/1/2019.


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
1133VN1005XDietitian, RegisteredNutrition, RenalNo
2133VN1006XDietitian, RegisteredNutrition, MetabolicNo
3133VN1004XDietitian, RegisteredNutrition, PediatricNo
4133V00000XDietitian, RegisteredYes

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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