Ms. Tina B Reilly, RD, LDN
Dietitian, Registered in Roslindale, Massachusetts
1407515653- Practice location
- 1200 Centre St, Roslindale, MA 02131-1011
- Phone
- 617-363-8241
- Fax
- —
- Last updated
- December 15, 2021
Tina Boucher Reilly is a Dietitian, Registered based in Roslindale, MA. Tina Boucher Reilly practices in Roslindale, MA and has the professional credentials of RD, LDN. The NPI Number for Tina Boucher Reilly is 1407515653 and holds a License No. 710263. The current practice location address for Tina Boucher Reilly is 1200 Centre St, Roslindale, MA 02131-1011 and can be reached out via phone at 617-363-8241.
Provider Profile Details
- NPI Number
- 1407515653
- Provider Name
- Tina Boucher Reilly
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1200 Centre St, Roslindale, MA 02131-1011
- Phone Number
- 617-363-8241
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 15, 2021
- Last Update Date
- December 15, 2021
- Certification Date
- December 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 Centre St
Roslindale, MA 02131-1011 - City
- Roslindale
- State
- Massachusetts
- Zip
- 02131-1011
- Phone Number
- 617-363-8241
Provider Business Mailing Address Details
- Address
- 1200 Centre St
Roslindale, MA 02131-1011 - City
- Roslindale
- State
- MA
- Zip
- 02131-1011
- Phone Number
- 617-363-8241
License Information
- License Number (1)
- 710263
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 621
- License State (2)
- MA
- Taxonomy (2)
- 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 Roslindale, MA
View all Dietitian, Registered providers in Roslindale →- Alegria E CohenDietitian, Registered · NPI 1558020776
- Andrea Hurwitz, MS, RD, LDNDietitian, Registered · NPI 1023777265
- Caitlin'S Nutrition Studio, INC.Dietitian, Registered · NPI 1205540077
- Deborah L Krieg, RDDietitian, Registered · NPI 1295933356
- Erin O'Connell, RDDietitian, Registered · NPI 1407578776
- Heidi Mcindoo, RDDietitian, Registered · NPI 1265401442
Frequently Asked Questions
What is the NPI number of Ms. Tina B Reilly, RD, LDN?
The NPI number of Ms. Tina B Reilly, RD, LDN is 1407515653. It was assigned on December 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Ms. Tina B Reilly, RD, LDN?
Ms. Tina B Reilly, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 710263.
Where does Ms. Tina B Reilly, RD, LDN practice?
The practice location is 1200 Centre St, Roslindale, MA 02131-1011. The office can be reached at 617-363-8241 (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 1407515653 directly on the NPPES registry website.