Active NPIIndividual provider

Stacey P Federico, PHD, RD

Dietitian, Registered in Southborough, Massachusetts

NPI Number1144320268
Practice location
24 Newton St, Southborough, MA 01772-1215
Fax
508-453-8152
Last updated
February 19, 2019

Stacey Panagotopulos Federico is a Dietitian, Registered based in Southborough, MA. Stacey Panagotopulos Federico practices in Southborough, MA and has the professional credentials of PHD, RD. The NPI Number for Stacey Panagotopulos Federico is 1144320268 and holds a License No. CDR963741 (RI). The current practice location address for Stacey Panagotopulos Federico is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 508-460-3291 and via fax at 508-453-8152.

Provider Profile Details

NPI Number
1144320268
Provider Name
Stacey Panagotopulos Federico
Credential
PHD, RD
Provider Entity Type
Individual
Gender
Female
Address
24 Newton St, Southborough, MA 01772-1215
Phone Number
508-460-3291
Fax Number
508-453-8152
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2006
Last Update Date
February 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Newton St
Southborough, MA 01772-1215
Zip
01772-1215
Phone Number
508-460-3291
Fax Number
508-453-8152
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St Fl Street2
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-368-5532

License Information

License Number
CDR963741
License State
RI
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey P Federico, PHD, RD?

The NPI number of Stacey P Federico, PHD, RD is 1144320268. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacey P Federico, PHD, RD?

Stacey P Federico, PHD, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number CDR963741.

Where does Stacey P Federico, PHD, RD practice?

The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 508-460-3291 (phone) or 508-453-8152 (fax).

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 1144320268 directly on the NPPES registry website.

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