Active NPIIndividual providerSole proprietor

Mrs. Kimberly B Minogue, MS, RD, LDN

Dietitian, Registered in Needham, Massachusetts

NPI Number1366628463
Practice location
148 Chestnut St, Needham, MA 02492-2505
Fax
781-453-3654
Last updated
November 20, 2017

Kimberly Beth Minogue is a Dietitian, Registered based in Needham, MA. Kimberly Beth Minogue practices in Needham, MA and has the professional credentials of MS, RD, LDN. The NPI Number for Kimberly Beth Minogue is 1366628463 and holds a License No. 2088 (MA). The current practice location address for Kimberly Beth Minogue is 148 Chestnut St, Needham, MA 02492-2505 and can be reached out via phone at 781-453-3016 and via fax at 781-453-3654.

Provider Profile Details

NPI Number
1366628463
Provider Name
Kimberly Beth Minogue
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
148 Chestnut St, Needham, MA 02492-2505
Phone Number
781-453-3016
Fax Number
781-453-3654
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2008
Last Update Date
November 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Chestnut St
Needham, MA 02492-2505
Zip
02492-2505
Phone Number
781-453-3016
Fax Number
781-453-3654
Needham, MA 02492Get directions →

Provider Business Mailing Address Details

Address
2 Whalen RD
Hopkinton, MA 01748-1710
City
Hopkinton
State
MA
Zip
01748-1710
Phone Number
781-724-9359

License Information

License Number
2088
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 Mrs. Kimberly B Minogue, MS, RD, LDN?

The NPI number of Mrs. Kimberly B Minogue, MS, RD, LDN is 1366628463. It was assigned on January 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly B Minogue, MS, RD, LDN?

Mrs. Kimberly B Minogue, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2088.

Where does Mrs. Kimberly B Minogue, MS, RD, LDN practice?

The practice location is 148 Chestnut St, Needham, MA 02492-2505. The office can be reached at 781-453-3016 (phone) or 781-453-3654 (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 1366628463 directly on the NPPES registry website.

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