Ms. Mary S Sullivan, MED, RD, CSR, LDN
Dietitian, Registered, Nutrition, Renal in Wilbraham, Massachusetts
1508315961- Practice location
- 16 Raymond Dr, Wilbraham, MA 01095-2606
- Phone
- 413-537-2426
- Fax
- —
- Last updated
- September 27, 2016
Mary Sheila Sullivan is a Dietitian, Registered, Nutrition, Renal based in Wilbraham, MA. Mary Sheila Sullivan practices in Wilbraham, MA and has the professional credentials of MED, RD, CSR, LDN. The NPI Number for Mary Sheila Sullivan is 1508315961 and holds a License No. 121 (MA). The current practice location address for Mary Sheila Sullivan is 16 Raymond Dr, Wilbraham, MA 01095-2606 and can be reached out via phone at 413-537-2426.
Provider Profile Details
- NPI Number
- 1508315961
- Provider Name
- Mary Sheila Sullivan
- Credential
- MED, RD, CSR, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Raymond Dr, Wilbraham, MA 01095-2606
- Phone Number
- 413-537-2426
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 27, 2016
- Last Update Date
- September 27, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Raymond Dr
Wilbraham, MA 01095-2606 - City
- Wilbraham
- State
- Massachusetts
- Zip
- 01095-2606
- Phone Number
- 413-537-2426
Provider Business Mailing Address Details
- Address
- 16 Raymond Dr
Wilbraham, MA 01095-2606 - City
- Wilbraham
- State
- MA
- Zip
- 01095-2606
- Phone Number
- 413-537-2426
License Information
- License Number (1)
- 121
- License State (1)
- MA
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- 121
- License State (2)
- MA
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Renal · 133VN1005X · 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 Ms. Mary S Sullivan, MED, RD, CSR, LDN?
The NPI number of Ms. Mary S Sullivan, MED, RD, CSR, LDN is 1508315961. It was assigned on September 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary S Sullivan, MED, RD, CSR, LDN?
Ms. Mary S Sullivan, MED, RD, CSR, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Renal (code 133VN1005X), licensed in MA under license number 121.
Where does Ms. Mary S Sullivan, MED, RD, CSR, LDN practice?
The practice location is 16 Raymond Dr, Wilbraham, MA 01095-2606. The office can be reached at 413-537-2426 (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 1508315961 directly on the NPPES registry website.