Boston Functional Nutrition
Dietitian, Registered in Concord, Massachusetts
1609266931- Practice location
- 97 Lowell RD, Millbrook Tarry, Concord, MA 01742-1733
- Phone
- 617-650-7572
- Fax
- 888-835-5844
- Last updated
- July 14, 2016
Boston Functional Nutrition is a healthcare organization based in Concord, MA. Boston Functional Nutrition practices in Concord, MA. The NPI Number for Boston Functional Nutrition is 1609266931 and holds a License No. 2715 (MA). The current practice location address for Boston Functional Nutrition is 97 Lowell RD, Millbrook Tarry, Concord, MA 01742-1733 and can be reached out via phone at 617-650-7572 and via fax at 888-835-5844.
Provider Profile Details
- NPI Number
- 1609266931
- Provider Name
- Boston Functional Nutrition
- Provider Entity Type
- Organization
- Address
- 97 Lowell RD, Millbrook Tarry, Concord, MA 01742-1733
- Phone Number
- 617-650-7572
- Fax Number
- 888-835-5844
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Ayla Withee, RD, LDN · Owner · 617-650-7572
- Provider Enumeration Date
- January 26, 2015
- Last Update Date
- July 14, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 Lowell RD
Millbrook Tarry
Concord, MA 01742-1733 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-1733
- Phone Number
- 617-650-7572
- Fax Number
- 888-835-5844
Provider Business Mailing Address Details
- Address
- 68 Virginia Farme Ln
Carlisle, MA 01741-1302 - City
- Carlisle
- State
- MA
- Zip
- 01741-1302
- Phone Number
- 617-650-7572
- Fax Number
- 888-835-5844
License Information
- License Number
- 2715
- 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. | |||
Other Dietitian, Registered providers near Concord, MA
View all Dietitian, Registered providers in Concord →- Barbara SouthcoteDietitian, Registered · NPI 1013394923
- Camp Thoreau INCDietitian, Registered · NPI 1023415460
- Evan Salvatore, MS, RDDietitian, Registered · NPI 1518508035
- Inspired Nutrition And HealthDietitian, Registered · NPI 1891348967
- Jenica K Abram, MPH, RDN, LDNDietitian, Registered · NPI 1891554325
- Kathryn A JaneczekDietitian, Registered · NPI 1275009516
Frequently Asked Questions
What is the NPI number of Boston Functional Nutrition?
The NPI number of Boston Functional Nutrition is 1609266931. It was assigned on January 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Boston Functional Nutrition?
Boston Functional Nutrition is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2715.
Where does Boston Functional Nutrition practice?
The practice location is 97 Lowell RD, Millbrook Tarry, Concord, MA 01742-1733. The office can be reached at 617-650-7572 (phone) or 888-835-5844 (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 1609266931 directly on the NPPES registry website.