Active NPI
Nicole Bodin
- Registered Dietitian
- Brookline, MA
National Provider Identifier
1144949413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NICOLE BODIN
- Practice address
- 21 Osborne Rd
Brookline, MA 02446-6713 - Phone
- (908) 656-1942
- NPI assigned
- Aug 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Female Bodin, RDN
- Title
- Registered Dietitian
- Phone
- (908) 656-1942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
21 Osborne Rd
Brookline, MA 02446-6713
Mailing address
21 Osborne Rd
Brookline, MA 02446-6713
Phone (908) 656-1942
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1144949413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OSBORNE RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466713",
"telephone_number": "908-656-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 OSBORNE RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466713",
"telephone_number": "908-656-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE BODIN",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "BODIN",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "FEMALE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "908-656-1942",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.