Active NPIOrganization

Secret Sauce Nutrition

Dietitian, Registered in Winthrop, Massachusetts

NPI Number1457016073
Practice location
249 Winthrop Shore Dr Apt 5, Winthrop, MA 02152-1153
Fax
—
Last updated
November 8, 2021

Secret Sauce Nutrition is a healthcare organization based in Winthrop, MA. Secret Sauce Nutrition practices in Winthrop, MA. The NPI Number for Secret Sauce Nutrition is 1457016073. The current practice location address for Secret Sauce Nutrition is 249 Winthrop Shore Dr Apt 5, Winthrop, MA 02152-1153 and can be reached out via phone at 201-458-4065.

Provider Profile Details

NPI Number
1457016073
Provider Name
Secret Sauce Nutrition
Provider Entity Type
Organization
Address
249 Winthrop Shore Dr Apt 5, Winthrop, MA 02152-1153
Phone Number
201-458-4065
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Nicolette Star Maggiolo, RDN, LDN · Registered Dietitian Nutritionist · 201-458-4065
Provider Enumeration Date
November 8, 2021
Last Update Date
November 8, 2021
Certification Date
November 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
249 Winthrop Shore Dr Apt 5
Winthrop, MA 02152-1153
Zip
02152-1153
Phone Number
201-458-4065
Winthrop, MA 02152Get directions →

Provider Business Mailing Address Details

Address
249 Winthrop Shore Dr Apt 5
Winthrop, MA 02152-1153
City
Winthrop
State
MA
Zip
02152-1153
Phone Number
201-458-4065

License Information

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 Secret Sauce Nutrition?

The NPI number of Secret Sauce Nutrition is 1457016073. It was assigned on November 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Secret Sauce Nutrition?

Secret Sauce Nutrition is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Secret Sauce Nutrition practice?

The practice location is 249 Winthrop Shore Dr Apt 5, Winthrop, MA 02152-1153. The office can be reached at 201-458-4065 (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 1457016073 directly on the NPPES registry website.

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