Evergreen Nutrition LLC
Dietitian, Registered in Medford, Massachusetts
1033936570- Practice location
- 34 Emerald St, Medford, MA 02155-2808
- Phone
- 857-496-5142
- Fax
- —
- Last updated
- September 25, 2024
Evergreen Nutrition LLC is a healthcare organization based in Medford, MA. Evergreen Nutrition LLC practices in Medford, MA. The NPI Number for Evergreen Nutrition LLC is 1033936570. The current practice location address for Evergreen Nutrition LLC is 34 Emerald St, Medford, MA 02155-2808 and can be reached out via phone at 857-496-5142.
Provider Profile Details
- NPI Number
- 1033936570
- Provider Name
- Evergreen Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 34 Emerald St, Medford, MA 02155-2808
- Phone Number
- 857-496-5142
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Elsey Weisberg, RDN · Owner · 857-496-5142
- Provider Enumeration Date
- September 25, 2024
- Last Update Date
- September 25, 2024
- Certification Date
- September 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Emerald St
Medford, MA 02155-2808 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-2808
- Phone Number
- 857-496-5142
Provider Business Mailing Address Details
- Address
- 34 Emerald St
Medford, MA 02155-2808 - City
- Medford
- State
- MA
- Zip
- 02155-2808
- Phone Number
- 857-496-5142
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Medford, MA
View all Dietitian, Registered providers in Medford →- Alexandra Larcom, RDDietitian, Registered · NPI 1538023106
- Brooke Caplinger, RDNDietitian, Registered · NPI 1871470641
- Camryn FedeliDietitian, Registered · NPI 1851278279
- Denise Barra, RDDietitian, Registered · NPI 1306816798
- Elizabeth L Dias, RD, LDNDietitian, Registered · NPI 1659500874
- Janet Nolan, RD, LDNDietitian, Registered · NPI 1588894539
Frequently Asked Questions
What is the NPI number of Evergreen Nutrition LLC?
The NPI number of Evergreen Nutrition LLC is 1033936570. It was assigned on September 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Evergreen Nutrition LLC?
Evergreen Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Evergreen Nutrition LLC practice?
The practice location is 34 Emerald St, Medford, MA 02155-2808. The office can be reached at 857-496-5142 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033936570 directly on the NPPES registry website.