Active NPIIndividual provider

Jeannine B Sullivan, RD

Dietitian, Registered in Jamaica Plain, Massachusetts

NPI Number1508077264
Practice location
3297 Washington St, Jamaica Plain, MA 02130-2655
Fax
—
Last updated
July 8, 2007

Jeannine Balbiers Sullivan is a Dietitian, Registered based in Jamaica Plain, MA. Jeannine Balbiers Sullivan practices in Jamaica Plain, MA and has the professional credentials of RD. The NPI Number for Jeannine Balbiers Sullivan is 1508077264 and holds a License No. 580 (MA). The current practice location address for Jeannine Balbiers Sullivan is 3297 Washington St, Jamaica Plain, MA 02130-2655 and can be reached out via phone at 617-983-6050.

Provider Profile Details

NPI Number
1508077264
Provider Name
Jeannine Balbiers Sullivan
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
3297 Washington St, Jamaica Plain, MA 02130-2655
Phone Number
617-983-6050
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3297 Washington St
Jamaica Plain, MA 02130-2655
Zip
02130-2655
Phone Number
617-983-6050
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
70 Hope Ave
Suite 102
Waltham, MA 02453-2732
City
Waltham
State
MA
Zip
02453-2732
Phone Number
617-983-6050

License Information

License Number
580
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 Jeannine B Sullivan, RD?

The NPI number of Jeannine B Sullivan, RD is 1508077264. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Jeannine B Sullivan, RD?

Jeannine B Sullivan, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 580.

Where does Jeannine B Sullivan, RD practice?

The practice location is 3297 Washington St, Jamaica Plain, MA 02130-2655. The office can be reached at 617-983-6050 (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 1508077264 directly on the NPPES registry website.

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