Active NPIIndividual providerSole proprietor

Ms. Debra Davidson, RD, MS, CDE

Dietitian, Registered in Lawrence, Massachusetts

NPI Number1235341751
Practice location
34 Haverhill St, Lawrence, MA 01841-2884
Fax
978-681-5963
Last updated
January 14, 2017

Debra Davidson is a Dietitian, Registered based in Lawrence, MA. Debra Davidson practices in Lawrence, MA and has the professional credentials of RD, MS, CDE. The NPI Number for Debra Davidson is 1235341751 and holds a License No. 4093 (MA). The current practice location address for Debra Davidson is 34 Haverhill St, Lawrence, MA 01841-2884 and can be reached out via phone at 978-686-0090 and via fax at 978-681-5963.

Provider Profile Details

NPI Number
1235341751
Provider Name
Debra Davidson
Credential
RD, MS, CDE
Provider Entity Type
Individual
Gender
Female
Address
34 Haverhill St, Lawrence, MA 01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
January 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Haverhill St
Lawrence, MA 01841-2884
Zip
01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963
Lawrence, MA 01841Get directions →

Provider Business Mailing Address Details

Address
34 Haverhill St
Lawrence, MA 01841-2884
City
Lawrence
State
MA
Zip
01841-2884
Phone Number
978-686-0090
Fax Number
978-681-5963

License Information

License Number (1)
4093
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
0802
License State (2)
NH
Taxonomy (2)
Dietetic Technician, Registered · 136A00000X

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 Ms. Debra Davidson, RD, MS, CDE?

The NPI number of Ms. Debra Davidson, RD, MS, CDE is 1235341751. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Debra Davidson, RD, MS, CDE?

Ms. Debra Davidson, RD, MS, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4093.

Where does Ms. Debra Davidson, RD, MS, CDE practice?

The practice location is 34 Haverhill St, Lawrence, MA 01841-2884. The office can be reached at 978-686-0090 (phone) or 978-681-5963 (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 1235341751 directly on the NPPES registry website.

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