Christine Huntley LLC
Organization Active NPI Registered Dietitian · Wenham, MA
NPI 1063159481 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1063159481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- CHRISTINE HUNTLEY LLC
- Practice address
- 225 Main St Ste 14
Wenham, MA 01984-1459 - Phone
- (978) 238-8175
- Fax
- (978) 238-0391
- NPI assigned
- May 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Christine Huntley, RD, LDN
- Title
- Registered Dietitian, Nutritionist
- Phone
- (978) 238-8175
Practitioners 3
-
Jennifer Delorenzo, LCSW, LICSW
-
Denise Marie Koelsch, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250507000033 | MA | Part B Supplier - Clinic/Group Practice | 4880111509 |
Receives reassigned benefits from 1 practitioner Practice locations: Wenham, MA |
National Provider Directory
Locations
225 Main St
Ste 14
Wenham, MA 01984
Phone (860) 918-2613
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
225 Main St Ste 14
Wenham, MA 01984-1459
Mailing address
46 Broadway Avenue Ext
Ipswich, MA 01938-2001
Phone (617) 417-4870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86105998 | Other | MA | CDR |
Other names
- Sustained Nutrition
Other providers in Wenham, MA
- Gail P Borgman
- Eric Wilson Bowman
- Mary Frances Bozarjian
- Phyllis Brooks
- Laura E. Carlson
- Christine M. Williams, PHD, LLC
- Kaitlin Ann Colancecco
- Sarah Collins
- Congenial Healthcare, LLC
- Meredith Conroy
All providers in Wenham, 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 Apr 29, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.