June Skuza, MED, RD,LDN
Individual provider Active NPI Registered Dietitian · Rowley, MA
NPI 1003139429 · NPPES record last updated Jul 8, 2016
Key facts
- NPI
- 1003139429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2403 (MA)
- Practice address
- 14 Wethersfield St
Rowley, MA 01969-1708 - Phone
- (617) 519-4357
- NPI assigned
- Mar 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nutrition Factory LLC
Practice addresses (Care Compare)
565 Turnpike St
Suite 64
North Andover, MA 01845-5936
Phone 97847444780
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181128001404 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 6709120074 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2403 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Factory, LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
68 Main St
Ste 3
Andover, MA 01810
Phone (978) 474-4478
565 Turnpike St
Ste 64
North Andover, MA 01845
Phone (978) 474-4478
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2403 | MA | Yes |
Addresses
Primary practice location
14 Wethersfield St
Rowley, MA 01969-1708
Mailing address
14 Wethersfield St
Rowley, MA 01969-1708
Phone (617) 519-4357
Other providers in Rowley, MA
- Sidney Leigh Scott
- Sabrina Seavey
- Seaview Retreat Inc
- Richard M Seltenrich Jr.
- Douglas Alan Shealy
- Joy Smith
- Laura D. Smith
- J. Peter St. Clair
- Studio Avani
- Dianna Christine Sutera
All providers in Rowley, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.