Stacy Kennedy, MPH, RD, LDN
Dietitian, Registered in Brighton, Massachusetts
1235149931- Practice location
- 1404 Commonwealth Ave, #4, Brighton, MA 02135-3722
- Phone
- 617-713-2835
- Fax
- 617-632-4095
- Last updated
- November 3, 2022
Stacy Kennedy is a Dietitian, Registered based in Brighton, MA. Stacy Kennedy practices in Brighton, MA and has the professional credentials of MPH, RD, LDN. The NPI Number for Stacy Kennedy is 1235149931 and holds a License No. DI1769 (ME). The current practice location address for Stacy Kennedy is 1404 Commonwealth Ave, #4, Brighton, MA 02135-3722 and can be reached out via phone at 617-713-2835 and via fax at 617-632-4095.
Provider Profile Details
- NPI Number
- 1235149931
- Provider Name
- Stacy Kennedy
- Credential
- MPH, RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1404 Commonwealth Ave, #4, Brighton, MA 02135-3722
- Phone Number
- 617-713-2835
- Fax Number
- 617-632-4095
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 8, 2006
- Last Update Date
- November 3, 2022
- Certification Date
- November 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1404 Commonwealth Ave
#4
Brighton, MA 02135-3722 - City
- Brighton
- State
- Massachusetts
- Zip
- 02135-3722
- Phone Number
- 617-713-2835
- Fax Number
- 617-632-4095
Provider Business Mailing Address Details
- Address
- 1404 Commonwealth Ave
Brighton, MA 02135-3722 - City
- Brighton
- State
- MA
- Zip
- 02135-3722
License Information
- License Number (1)
- DI1769
- License State (1)
- ME
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 1338
- License State (2)
- NH
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- License Number (3)
- 1287
- License State (3)
- MA
- Taxonomy (3)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Brighton, MA
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- Caroline S Robinson, MPH, RDDietitian, Registered · NPI 1437035896
- Chris Irish Nutrition LLCDietitian, Registered · NPI 1770436008
- Colleen Driscoll, MS, RDDietitian, Registered · NPI 1477178515
Frequently Asked Questions
What is the NPI number of Stacy Kennedy, MPH, RD, LDN?
The NPI number of Stacy Kennedy, MPH, RD, LDN is 1235149931. It was assigned on August 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Stacy Kennedy, MPH, RD, LDN?
Stacy Kennedy, MPH, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1769.
Where does Stacy Kennedy, MPH, RD, LDN practice?
The practice location is 1404 Commonwealth Ave, #4, Brighton, MA 02135-3722. The office can be reached at 617-713-2835 (phone) or 617-632-4095 (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 1235149931 directly on the NPPES registry website.