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GRACE PUTHENPURACKAL RD LDN CDE NPI 1316005580


NPI Information

NPI: 1316005580
Provider Name: GRACE PUTHENPURACKAL, RD, LDN, CDE
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
3993 TRACE HOLLOW RUN
SALISBURY, MD
ZIP 21804
Phone: (410) 548-1860
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Grace Puthenpurackal, RD, LDN, CDE is a dietitian registered in Salisbury, MD. 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. Grace Puthenpurackal, RD, LDN, CDE NPI is 1316005580. 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:

3993 TRACE HOLLOW RUN
SALISBURY, MD
ZIP 21804-552
Phone: (410) 548-1860
Fax: (410) 341-4629

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/9/2007.


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
1133V00000XDietitian, RegisteredDO1175MARYLANDYes

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
10956915OTHERMARYLANDAETNA HMO
2022022OTHERMARYLANDPRIORITYPARTNERS.JHHC
3216451OTHERMARYLANDALLIANCE.MAMSI.MDIPA.OC
4S2360001OTHERMARYLANDBLUECHOICE,CAREFIRST
5839RMEDICARE ID-TYPE UNSPECIFIEDMARYLANDMEDICAL NUTRITION PROVIDE
609DIOTHERMARYLANDCAREFIRSTBCBS,PPO,POS
77758298OTHERMARYLANDCIGNA,HMO,PPO
8216451OTHERMARYLANDAMERI HEALTH ADMINISTRATO
9238074OTHERMARYLANDAMERIHEALTH
10328392OTHERMARYLANDPRIMEHEALTH
11V00003940OTHERMARYLANDAMERICHOICEMA
126300008OTHERMARYLANDUNITED HEALTH CARE
137758298OTHERMARYLANDCIGNA
14228231300MEDICAIDMARYLAND
155640256OTHERMARYLANDAETNA,PPO,POS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.