Active NPIIndividual provider

Gina Desousa, RD, LDN

Dietitian, Registered in Wrentham, Massachusetts

NPI Number1487490314
Practice location
249 Shears St, Wrentham, MA 02093-1042
Fax
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Last updated
July 1, 2024

Gina Desousa is a Dietitian, Registered based in Wrentham, MA. Gina Desousa practices in Wrentham, MA and has the professional credentials of RD, LDN. The NPI Number for Gina Desousa is 1487490314 and holds a License No. LDN6902 (MA). The current practice location address for Gina Desousa is 249 Shears St, Wrentham, MA 02093-1042 and can be reached out via phone at 508-455-7424.

Provider Profile Details

NPI Number
1487490314
Provider Name
Gina Desousa
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
249 Shears St, Wrentham, MA 02093-1042
Phone Number
508-455-7424
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2024
Last Update Date
July 1, 2024
Certification Date
July 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
249 Shears St
Wrentham, MA 02093-1042
Zip
02093-1042
Phone Number
508-455-7424
Wrentham, MA 02093Get directions →

Provider Business Mailing Address Details

Address
249 Shears St
Wrentham, MA 02093-1042
City
Wrentham
State
MA
Zip
02093-1042
Phone Number
508-455-7424

License Information

License Number
LDN6902
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 Gina Desousa, RD, LDN?

The NPI number of Gina Desousa, RD, LDN is 1487490314. It was assigned on July 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Gina Desousa, RD, LDN?

Gina Desousa, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number LDN6902.

Where does Gina Desousa, RD, LDN practice?

The practice location is 249 Shears St, Wrentham, MA 02093-1042. The office can be reached at 508-455-7424 (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 1487490314 directly on the NPPES registry website.

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