Active NPI
Bahaar Frost, MS, RD, LDN
- Registered Dietitian
- Andover, MA
National Provider Identifier
1164278057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN3637
- Practice address
- 205 Lowell St
Andover, MA 01810-3425 - Phone
- (978) 204-5409
- NPI assigned
- Apr 30, 2024
- Last updated
- May 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN3637 | MA | Primary |
Addresses
Primary practice location
205 Lowell St
Andover, MA 01810-3425
Mailing address
205 Lowell St
Andover, MA 01810-3425
Phone (978) 204-5409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Courthouse LN
Unit 10
Chelmsford, MA 01824-1723
Phone (978) 408-8812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellie Berry Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
2 Courthouse Ln
Ste 10
Chelmsford, MA 01824
Phone (978) 360-8914
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716681600000",
"number": "1164278057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LOWELL ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103425",
"telephone_number": "978-204-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 LOWELL ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103425",
"telephone_number": "978-204-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "BAHAAR",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2024-05-26",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN3637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.