Carol E Sullivan, MS, RD, CSO, LDN
Dietitian, Registered in Lexington, Massachusetts
1861513327- Practice location
- 152 Simonds RD, Lexington, MA 02420-1621
- Phone
- 617-894-4930
- Fax
- —
- Last updated
- February 23, 2022
Carol Elizabeth Sullivan is a Dietitian, Registered based in Lexington, MA. Carol Elizabeth Sullivan practices in Lexington, MA and has the professional credentials of MS, RD, CSO, LDN. The NPI Number for Carol Elizabeth Sullivan is 1861513327 and holds a License No. 2433 (MA). The current practice location address for Carol Elizabeth Sullivan is 152 Simonds RD, Lexington, MA 02420-1621 and can be reached out via phone at 617-894-4930.
Provider Profile Details
- NPI Number
- 1861513327
- Provider Name
- Carol Elizabeth Sullivan
- Credential
- MS, RD, CSO, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 152 Simonds RD, Lexington, MA 02420-1621
- Phone Number
- 617-894-4930
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 3, 2007
- Last Update Date
- February 23, 2022
- Certification Date
- February 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 152 Simonds RD
Lexington, MA 02420-1621 - City
- Lexington
- State
- Massachusetts
- Zip
- 02420-1621
- Phone Number
- 617-894-4930
Provider Business Mailing Address Details
- Address
- 152 Simonds RD
Lexington, MA 02420-1621 - City
- Lexington
- State
- MA
- Zip
- 02420-1621
- Phone Number
- 617-894-4930
License Information
- License Number
- 2433
- 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. | |||
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- Dr. Nadine Tassabehji, RDNDietitian, Registered · NPI 1013762574
- Elizabeth Pearl, RD LDNDietitian, Registered · NPI 1386775898
- Heather E Bell, RDDietitian, Registered · NPI 1811067721
Frequently Asked Questions
What is the NPI number of Carol E Sullivan, MS, RD, CSO, LDN?
The NPI number of Carol E Sullivan, MS, RD, CSO, LDN is 1861513327. It was assigned on April 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Carol E Sullivan, MS, RD, CSO, LDN?
Carol E Sullivan, MS, RD, CSO, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2433.
Where does Carol E Sullivan, MS, RD, CSO, LDN practice?
The practice location is 152 Simonds RD, Lexington, MA 02420-1621. The office can be reached at 617-894-4930 (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 1861513327 directly on the NPPES registry website.