Roberta Dale Laredo, RD, LDN, CDE
Individual provider Active NPI Registered Dietitian · Newton Centre, MA
NPI 1124124359 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124124359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 873 (MA)
- Practice address
- 93 Union St
Suite 300
Newton Centre, MA 02459-2244 - Phone
- (617) 332-4233
- Fax
- (617) 332-8233
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
93 Union St
Suite 300
Newton Centre, MA 02459-2244
93 Union St
Suite 305 B
Newton Centre, MA 02459-2289
Phone (617) 710-0458
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041201000883 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 1759347743 | Practice locations: Newton Centre, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 873 | MA | Yes |
Addresses
Primary practice location
93 Union St
Suite 300
Newton Centre, MA 02459-2244
Mailing address
31 Philmore Rd
Newton, MA 02458-2719
Phone (617) 527-9889
Other providers in Newton Centre, MA
- Timothy P. Kochems
- Michele Kraman
- Karen G. Kramer
- D. Elliott Kronenfeld
- Kellyann Langdon
- Aimee Lataille
- Lawrence E. Rosenberg, MDPC
- Jill Auline Lewis
- Alice I-Ying Lin
- Neal Ennis Lipsitz
All providers in Newton Centre, 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, 2007. 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.