Abigail B Lively, MS, RD, CSSD, LD
Dietitian, Registered in North Quincy, Massachusetts
1942931746- Practice location
- 110 W Squantum St, North Quincy, MA 02171-2122
- Phone
- 617-376-3000
- Fax
- —
- Last updated
- November 21, 2023
Abigail Benson Lively is a Dietitian, Registered based in North Quincy, MA. Abigail Benson Lively practices in North Quincy, MA and has the professional credentials of MS, RD, CSSD, LD. The NPI Number for Abigail Benson Lively is 1942931746 and holds a License No. 5518 (MA). The current practice location address for Abigail Benson Lively is 110 W Squantum St, North Quincy, MA 02171-2122 and can be reached out via phone at 617-376-3000.
Provider Profile Details
- NPI Number
- 1942931746
- Provider Name
- Abigail Benson Lively
- Credential
- MS, RD, CSSD, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 W Squantum St, North Quincy, MA 02171-2122
- Phone Number
- 617-376-3000
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2022
- Last Update Date
- November 21, 2023
- Certification Date
- November 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 W Squantum St
North Quincy, MA 02171-2122 - City
- North Quincy
- State
- Massachusetts
- Zip
- 02171-2122
- Phone Number
- 617-376-3000
Provider Business Mailing Address Details
- Address
- 110 W Squantum St
North Quincy, MA 02171-2122 - City
- North Quincy
- State
- MA
- Zip
- 02171-2122
- Phone Number
- 617-376-3000
License Information
- License Number
- 5518
- 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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Frequently Asked Questions
What is the NPI number of Abigail B Lively, MS, RD, CSSD, LD?
The NPI number of Abigail B Lively, MS, RD, CSSD, LD is 1942931746. It was assigned on June 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Abigail B Lively, MS, RD, CSSD, LD?
Abigail B Lively, MS, RD, CSSD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 5518.
Where does Abigail B Lively, MS, RD, CSSD, LD practice?
The practice location is 110 W Squantum St, North Quincy, MA 02171-2122. The office can be reached at 617-376-3000 (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 1942931746 directly on the NPPES registry website.