Active NPIIndividual providerSole proprietor

Katelyn Bridgestock, RD, LDN, CLC

Dietitian, Registered in Fall River, Massachusetts

NPI Number1275936924
Practice location
4 S Main St, Fall River, MA 02721-5327
Fax
—
Last updated
October 8, 2014

Katelyn Bridgestock is a Dietitian, Registered based in Fall River, MA. Katelyn Bridgestock practices in Fall River, MA and has the professional credentials of RD, LDN, CLC. The NPI Number for Katelyn Bridgestock is 1275936924 and holds a License No. 1017627 (MA). The current practice location address for Katelyn Bridgestock is 4 S Main St, Fall River, MA 02721-5327 and can be reached out via phone at 508-840-3688.

Provider Profile Details

NPI Number
1275936924
Provider Name
Katelyn Bridgestock
Credential
RD, LDN, CLC
Provider Entity Type
Individual
Gender
Female
Address
4 S Main St, Fall River, MA 02721-5327
Phone Number
508-840-3688
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2014
Last Update Date
October 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 S Main St
Fall River, MA 02721-5327
Zip
02721-5327
Phone Number
508-840-3688
Fall River, MA 02721Get directions →

Provider Business Mailing Address Details

Address
4 S Main St
Fall River, MA 02721-5327
City
Fall River
State
MA
Zip
02721-5327

License Information

License Number
1017627
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 Katelyn Bridgestock, RD, LDN, CLC?

The NPI number of Katelyn Bridgestock, RD, LDN, CLC is 1275936924. It was assigned on October 8, 2014 and is currently active in the NPPES registry.

What is the specialty of Katelyn Bridgestock, RD, LDN, CLC?

Katelyn Bridgestock, RD, LDN, CLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1017627.

Where does Katelyn Bridgestock, RD, LDN, CLC practice?

The practice location is 4 S Main St, Fall River, MA 02721-5327. The office can be reached at 508-840-3688 (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 1275936924 directly on the NPPES registry website.

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