Active NPIIndividual provider

Mrs. Elizabeth A Wiggin, MDA, RD, LDN

Dietitian, Registered in Roslindale, Massachusetts

NPI Number1215696455
Practice location
1200 Centre St, Roslindale, MA 02131-1000
Fax
—
Last updated
December 15, 2021

Elizabeth Ann Wiggin is a Dietitian, Registered based in Roslindale, MA. Elizabeth Ann Wiggin practices in Roslindale, MA and has the professional credentials of MDA, RD, LDN. The NPI Number for Elizabeth Ann Wiggin is 1215696455 and holds a License No. 3842 (MA). The current practice location address for Elizabeth Ann Wiggin is 1200 Centre St, Roslindale, MA 02131-1000 and can be reached out via phone at 617-363-8245.

Provider Profile Details

NPI Number
1215696455
Provider Name
Elizabeth Ann Wiggin
Credential
MDA, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
1200 Centre St, Roslindale, MA 02131-1000
Phone Number
617-363-8245
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2021
Last Update Date
December 15, 2021
Certification Date
December 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Centre St
Roslindale, MA 02131-1000
Zip
02131-1000
Phone Number
617-363-8245
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
1200 Centre St
Roslindale, MA 02131-1000
City
Roslindale
State
MA
Zip
02131-1000
Phone Number
617-363-8245

License Information

License Number
3842
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 Mrs. Elizabeth A Wiggin, MDA, RD, LDN?

The NPI number of Mrs. Elizabeth A Wiggin, MDA, RD, LDN is 1215696455. It was assigned on December 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elizabeth A Wiggin, MDA, RD, LDN?

Mrs. Elizabeth A Wiggin, MDA, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3842.

Where does Mrs. Elizabeth A Wiggin, MDA, RD, LDN practice?

The practice location is 1200 Centre St, Roslindale, MA 02131-1000. The office can be reached at 617-363-8245 (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 1215696455 directly on the NPPES registry website.

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