Nicole Mangaudis, RD, LDN
Dietitian, Registered in Needham Heights, Massachusetts
1326610684- Practice location
- 1000 Highland Ave, Needham Heights, MA 02494-1262
- Phone
- 508-688-7288
- Fax
- —
- Last updated
- July 15, 2021
Nicole Mangaudis is a Dietitian, Registered based in Needham Heights, MA. Nicole Mangaudis practices in Needham Heights, MA and has the professional credentials of RD, LDN. The NPI Number for Nicole Mangaudis is 1326610684 and holds a License No. 4378 (MA). The current practice location address for Nicole Mangaudis is 1000 Highland Ave, Needham Heights, MA 02494-1262 and can be reached out via phone at 508-688-7288.
Provider Profile Details
- NPI Number
- 1326610684
- Provider Name
- Nicole Mangaudis
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1000 Highland Ave, Needham Heights, MA 02494-1262
- Phone Number
- 508-688-7288
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2021
- Last Update Date
- July 15, 2021
- Certification Date
- July 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Highland Ave
Needham Heights, MA 02494-1262 - City
- Needham Heights
- State
- Massachusetts
- Zip
- 02494-1262
- Phone Number
- 508-688-7288
Provider Business Mailing Address Details
- Address
- 3 Imperial Pl
Worcester, MA 01604-1619 - City
- Worcester
- State
- MA
- Zip
- 01604-1619
- Phone Number
- 508-688-7288
License Information
- License Number
- 4378
- License State
- MA
- Taxonomy
- 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 Needham Heights, MA
View all Dietitian, Registered providers in Needham Heights →Frequently Asked Questions
What is the NPI number of Nicole Mangaudis, RD, LDN?
The NPI number of Nicole Mangaudis, RD, LDN is 1326610684. It was assigned on July 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Nicole Mangaudis, RD, LDN?
Nicole Mangaudis, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4378.
Where does Nicole Mangaudis, RD, LDN practice?
The practice location is 1000 Highland Ave, Needham Heights, MA 02494-1262. The office can be reached at 508-688-7288 (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 1326610684 directly on the NPPES registry website.