Active NPIIndividual providerSole proprietor

Jennifer Boomhower, RD, CSR, CDN

Dietitian, Registered in Pittsfield, Massachusetts

NPI Number1336550326
Practice location
Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109
Fax
—
Last updated
October 15, 2024

Jennifer Boomhower is a Dietitian, Registered based in Pittsfield, MA. Jennifer Boomhower practices in Pittsfield, MA and has the professional credentials of RD, CSR, CDN. The NPI Number for Jennifer Boomhower is 1336550326 and holds a License No. 005602 (NY). The current practice location address for Jennifer Boomhower is Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109 and can be reached out via phone at 413-447-2000.

Provider Profile Details

NPI Number
1336550326
Provider Name
Jennifer Boomhower
Credential
RD, CSR, CDN
Provider Entity Type
Individual
Gender
Female
Address
Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109
Phone Number
413-447-2000
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2014
Last Update Date
October 15, 2024
Certification Date
October 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Berkshire Medical Center
725 North St
Pittsfield, MA 01201-4109
Zip
01201-4109
Phone Number
413-447-2000
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
725 North St
Pittsfield, MA 01201-4124
City
Pittsfield
State
MA
Zip
01201-4124

License Information

Taxonomy (1)
Dietitian, Registered, Nutrition, Renal · 133VN1005X
License Number (2)
005602
License State (2)
NY
Taxonomy (2)
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 Jennifer Boomhower, RD, CSR, CDN?

The NPI number of Jennifer Boomhower, RD, CSR, CDN is 1336550326. It was assigned on May 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Jennifer Boomhower, RD, CSR, CDN?

Jennifer Boomhower, RD, CSR, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 005602.

Where does Jennifer Boomhower, RD, CSR, CDN practice?

The practice location is Berkshire Medical Center, 725 North St, Pittsfield, MA 01201-4109. The office can be reached at 413-447-2000 (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 1336550326 directly on the NPPES registry website.

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