Active NPIIndividual providerSole proprietor

Susan Carroll, RD

Dietitian, Registered in West Boylston, Massachusetts

NPI Number1497810600
Practice location
360 W Boylston St Rm 107, West Boylston, MA 01583-2370
Fax
508-854-1380
Last updated
December 27, 2023

Susan Carroll is a Dietitian, Registered based in West Boylston, MA. Susan Carroll practices in West Boylston, MA and has the professional credentials of RD. The NPI Number for Susan Carroll is 1497810600 and holds a License No. 217 (MA). The current practice location address for Susan Carroll is 360 W Boylston St Rm 107, West Boylston, MA 01583-2370 and can be reached out via phone at 508-854-1380 and via fax at 508-854-1380.

Provider Profile Details

NPI Number
1497810600
Provider Name
Susan Carroll
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
360 W Boylston St Rm 107, West Boylston, MA 01583-2370
Phone Number
508-854-1380
Fax Number
508-854-1380
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 27, 2006
Last Update Date
December 27, 2023
Certification Date
December 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 W Boylston St Rm 107
West Boylston, MA 01583-2370
Zip
01583-2370
Phone Number
508-854-1380
Fax Number
508-854-1380
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
372 Meridian St
Boston, MA 02128-5123
City
Boston
State
MA
Zip
02128-5123
Phone Number
617-398-7752
Fax Number
857-264-5086

License Information

License Number
217
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 Susan Carroll, RD?

The NPI number of Susan Carroll, RD is 1497810600. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan Carroll, RD?

Susan Carroll, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 217.

Where does Susan Carroll, RD practice?

The practice location is 360 W Boylston St Rm 107, West Boylston, MA 01583-2370. The office can be reached at 508-854-1380 (phone) or 508-854-1380 (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 1497810600 directly on the NPPES registry website.

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