Ms. Kristen E Petterson, RD
Dietitian, Registered, Nutrition, Renal in Montclair, New Jersey
1295983146- Practice location
- 226 Walnut St, Montclair, NJ 07042-2972
- Phone
- 973-224-7644
- Fax
- 973-695-2003
- Last updated
- September 4, 2008
Kristen Ernst Petterson is a Dietitian, Registered, Nutrition, Renal based in Montclair, NJ. Kristen Ernst Petterson practices in Montclair, NJ and has the professional credentials of RD. The NPI Number for Kristen Ernst Petterson is 1295983146 and holds a License No. 631196. The current practice location address for Kristen Ernst Petterson is 226 Walnut St, Montclair, NJ 07042-2972 and can be reached out via phone at 973-224-7644 and via fax at 973-695-2003.
Provider Profile Details
- NPI Number
- 1295983146
- Provider Name
- Kristen Ernst Petterson
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 226 Walnut St, Montclair, NJ 07042-2972
- Phone Number
- 973-224-7644
- Fax Number
- 973-695-2003
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 4, 2008
- Last Update Date
- September 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 226 Walnut St
Montclair, NJ 07042-2972 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2972
- Phone Number
- 973-224-7644
- Fax Number
- 973-695-2003
Provider Business Mailing Address Details
- Address
- Po Box 43463
Upper Montclair, NJ 07043-0463 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-0463
- Phone Number
- 973-224-7644
- Fax Number
- 973-695-2003
License Information
- License Number (1)
- 631196
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 631196
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Renal · 133VN1005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Kristen E Petterson, RD?
The NPI number of Ms. Kristen E Petterson, RD is 1295983146. It was assigned on September 4, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Kristen E Petterson, RD?
Ms. Kristen E Petterson, RD is registered under the primary taxonomy Dietitian, Registered, Nutrition, Renal (code 133VN1005X), licensed under license number 631196.
Where does Ms. Kristen E Petterson, RD practice?
The practice location is 226 Walnut St, Montclair, NJ 07042-2972. The office can be reached at 973-224-7644 (phone) or 973-695-2003 (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 1295983146 directly on the NPPES registry website.