Active NPIIndividual provider

Ilze Kiselis, MSRD LDN

Nutritionist in Worcester, Massachusetts

NPI Number1982702304
Practice location
5 Neponset St, Worcester, MA 01606-2714
Fax
508-595-2123
Last updated
September 26, 2018

Ilze Kiselis is a Nutritionist based in Worcester, MA. Ilze Kiselis practices in Worcester, MA and has the professional credentials of MSRD LDN. The NPI Number for Ilze Kiselis is 1982702304 and holds a License No. 632 (MA). The current practice location address for Ilze Kiselis is 5 Neponset St, Worcester, MA 01606-2714 and can be reached out via phone at 508-852-6175 and via fax at 508-595-2123.

Provider Profile Details

NPI Number
1982702304
Provider Name
Ilze Kiselis
Credential
MSRD LDN
Provider Entity Type
Individual
Gender
Female
Address
5 Neponset St, Worcester, MA 01606-2714
Phone Number
508-852-6175
Fax Number
508-595-2123
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
September 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Neponset St
Worcester, MA 01606-2714
Zip
01606-2714
Phone Number
508-852-6175
Fax Number
508-595-2123
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St Fl Street12
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-852-6175
Fax Number
508-595-2123

License Information

License Number (1)
632
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
632
License State (2)
MA
Taxonomy (2)
Nutritionist · 133N00000X · 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 Ilze Kiselis, MSRD LDN?

The NPI number of Ilze Kiselis, MSRD LDN is 1982702304. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Ilze Kiselis, MSRD LDN?

Ilze Kiselis, MSRD LDN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in MA under license number 632.

Where does Ilze Kiselis, MSRD LDN practice?

The practice location is 5 Neponset St, Worcester, MA 01606-2714. The office can be reached at 508-852-6175 (phone) or 508-595-2123 (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 1982702304 directly on the NPPES registry website.

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