Active NPIIndividual provider

Nancy Maddox, RD

Dietitian, Registered in Medford, Massachusetts

NPI Number1073733804
Practice location
75 Riverside Ave, Medford, MA 02155-4600
Fax
—
Last updated
March 17, 2025

Nancy Maddox is a Dietitian, Registered based in Medford, MA. Nancy Maddox practices in Medford, MA and has the professional credentials of RD. The NPI Number for Nancy Maddox is 1073733804 and holds a License No. 630 (MA). The current practice location address for Nancy Maddox is 75 Riverside Ave, Medford, MA 02155-4600 and can be reached out via phone at 781-396-6221.

Provider Profile Details

NPI Number
1073733804
Provider Name
Nancy Maddox
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
75 Riverside Ave, Medford, MA 02155-4600
Phone Number
781-396-6221
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2007
Last Update Date
March 17, 2025
Certification Date
March 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Riverside Ave
Medford, MA 02155-4600
Zip
02155-4600
Phone Number
781-396-6221
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
960 Massachusetts Ave
Boston, MA 02118-2620
City
Boston
State
MA
Zip
02118-2620
Phone Number
617-414-4505

License Information

License Number
630
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 →

Frequently Asked Questions

What is the NPI number of Nancy Maddox, RD?

The NPI number of Nancy Maddox, RD is 1073733804. It was assigned on April 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Nancy Maddox, RD?

Nancy Maddox, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 630.

Where does Nancy Maddox, RD practice?

The practice location is 75 Riverside Ave, Medford, MA 02155-4600. The office can be reached at 781-396-6221 (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 1073733804 directly on the NPPES registry website.

Browse related providers