Jenifer La, RD, LDN
Dietitian, Registered in Waltham, Massachusetts
1477175131- Practice location
- 218 School St, Waltham, MA 02451-4551
- Phone
- 617-818-7672
- Fax
- —
- Last updated
- May 15, 2020
Jenifer La is a Dietitian, Registered based in Waltham, MA. Jenifer La practices in Waltham, MA and has the professional credentials of RD, LDN. The NPI Number for Jenifer La is 1477175131 and holds a License No. 4069 (MA). The current practice location address for Jenifer La is 218 School St, Waltham, MA 02451-4551 and can be reached out via phone at 617-818-7672.
Provider Profile Details
- NPI Number
- 1477175131
- Provider Name
- Jenifer La
- Credential
- RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 218 School St, Waltham, MA 02451-4551
- Phone Number
- 617-818-7672
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 15, 2020
- Last Update Date
- May 15, 2020
- Certification Date
- May 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 218 School St
Waltham, MA 02451-4551 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-4551
- Phone Number
- 617-818-7672
Provider Business Mailing Address Details
- Address
- 218 School St
Waltham, MA 02451-4551 - City
- Waltham
- State
- MA
- Zip
- 02451-4551
- Phone Number
- 617-818-7672
License Information
- License Number
- 4069
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Jenifer La, RD, LDN?
The NPI number of Jenifer La, RD, LDN is 1477175131. It was assigned on May 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Jenifer La, RD, LDN?
Jenifer La, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4069.
Where does Jenifer La, RD, LDN practice?
The practice location is 218 School St, Waltham, MA 02451-4551. The office can be reached at 617-818-7672 (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 1477175131 directly on the NPPES registry website.