Rebecca K Materazzo, RD, LDN
Dietitian, Registered in Boston, Massachusetts
1174702054- Practice location
- 55 Fruit St, Boston, MA 02114-2621
- Phone
- 617-726-5523
- Fax
- —
- Last updated
- February 28, 2024
Rebecca King Materazzo is a Dietitian, Registered based in Boston, MA. Rebecca King Materazzo practices in Boston, MA and has the professional credentials of RD, LDN. The NPI Number for Rebecca King Materazzo is 1174702054 and holds a License No. 1907 (MA). The current practice location address for Rebecca King Materazzo is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-5523.
Provider Profile Details
- NPI Number
- 1174702054
- Provider Name
- Rebecca King Materazzo
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fruit St, Boston, MA 02114-2621
- Phone Number
- 617-726-5523
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Other Names
- Rebecca King (Former Name)
- Provider Enumeration Date
- October 29, 2007
- Last Update Date
- February 28, 2024
- Certification Date
- February 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2621 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2621
- Phone Number
- 617-726-5523
Provider Business Mailing Address Details
- Address
- Po Box 1694
Andover, MA 01810-0029 - City
- Andover
- State
- MA
- Zip
- 01810-0029
License Information
- License Number
- 1907
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Rebecca K Materazzo, RD, LDN?
The NPI number of Rebecca K Materazzo, RD, LDN is 1174702054. It was assigned on October 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Rebecca K Materazzo, RD, LDN?
Rebecca K Materazzo, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1907.
Where does Rebecca K Materazzo, RD, LDN practice?
The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-5523 (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 1174702054 directly on the NPPES registry website.