Active NPIIndividual providerSole proprietor

Ms. Kellilyn R Fierras, RD, LDN

Dietitian, Registered in Dorchester, Massachusetts

NPI Number1265825046
Practice location
158 Neponset Ave, Apt 1, Dorchester, MA 02122-3341
Fax
—
Last updated
March 18, 2015

Kellilyn Rose Fierras is a Dietitian, Registered based in Dorchester, MA. Kellilyn Rose Fierras practices in Dorchester, MA and has the professional credentials of RD, LDN. The NPI Number for Kellilyn Rose Fierras is 1265825046 and holds a License No. 3667 (MA). The current practice location address for Kellilyn Rose Fierras is 158 Neponset Ave, Apt 1, Dorchester, MA 02122-3341 and can be reached out via phone at 610-724-2888.

Provider Profile Details

NPI Number
1265825046
Provider Name
Kellilyn Rose Fierras
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
158 Neponset Ave, Apt 1, Dorchester, MA 02122-3341
Phone Number
610-724-2888
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2015
Last Update Date
March 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Neponset Ave
Apt 1
Dorchester, MA 02122-3341
Zip
02122-3341
Phone Number
610-724-2888
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
158 Neponset Ave
Apt 1
Dorchester, MA 02122-3341
City
Dorchester
State
MA
Zip
02122-3341
Phone Number
610-724-2888

License Information

License Number
3667
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 Ms. Kellilyn R Fierras, RD, LDN?

The NPI number of Ms. Kellilyn R Fierras, RD, LDN is 1265825046. It was assigned on March 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Kellilyn R Fierras, RD, LDN?

Ms. Kellilyn R Fierras, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3667.

Where does Ms. Kellilyn R Fierras, RD, LDN practice?

The practice location is 158 Neponset Ave, Apt 1, Dorchester, MA 02122-3341. The office can be reached at 610-724-2888 (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 1265825046 directly on the NPPES registry website.

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