Active NPIIndividual providerSole proprietor

Stefanie A O'Connor, MS, RD, LDN

Dietitian, Registered in Roslindale, Massachusetts

NPI Number1164816708
Practice location
129 Tyndale St, Roslindale, MA 02131-2318
Fax
—
Last updated
July 22, 2015

Stefanie Anne O'Connor is a Dietitian, Registered based in Roslindale, MA. Stefanie Anne O'Connor practices in Roslindale, MA and has the professional credentials of MS, RD, LDN. The NPI Number for Stefanie Anne O'Connor is 1164816708 and holds a License No. 3375 (MA). The current practice location address for Stefanie Anne O'Connor is 129 Tyndale St, Roslindale, MA 02131-2318 and can be reached out via phone at 617-699-1988.

Provider Profile Details

NPI Number
1164816708
Provider Name
Stefanie Anne O'Connor
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
129 Tyndale St, Roslindale, MA 02131-2318
Phone Number
617-699-1988
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2015
Last Update Date
July 22, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 Tyndale St
Roslindale, MA 02131-2318
Zip
02131-2318
Phone Number
617-699-1988
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
129 Tyndale St
Roslindale, MA 02131-2318
City
Roslindale
State
MA
Zip
02131-2318
Phone Number
617-699-1988

License Information

License Number
3375
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.

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Frequently Asked Questions

What is the NPI number of Stefanie A O'Connor, MS, RD, LDN?

The NPI number of Stefanie A O'Connor, MS, RD, LDN is 1164816708. It was assigned on March 21, 2015 and is currently active in the NPPES registry.

What is the specialty of Stefanie A O'Connor, MS, RD, LDN?

Stefanie A O'Connor, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3375.

Where does Stefanie A O'Connor, MS, RD, LDN practice?

The practice location is 129 Tyndale St, Roslindale, MA 02131-2318. The office can be reached at 617-699-1988 (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 1164816708 directly on the NPPES registry website.

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