Birchwood Nutrition Group Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2088 Issued in MA

Legal business name

BIRCHWOOD NUTRITION GROUP INC.

Practice address

77R W Main St # R
Hopkinton, MA 01748-1688

Phone

(781) 724-9359

NPI assigned

Oct 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly Beth Minogue, MS, RD, LDN

Title

President/Registered Dietitan

Phone

(781) 724-9359

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1215307392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PURDUE DR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571243",
            "telephone_number": "781-724-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77R W MAIN ST # R",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481688",
            "telephone_number": "781-724-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD NUTRITION GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MINOGUE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/REGISTERED DIETITAN",
        "authorized_official_telephone_number": "781-724-9359",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366628463",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REGISTERED DIETITIAN",
            "identifier": "922444",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS NUTRITION LICENSURE",
            "identifier": "2088",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie L Beaudet, RN, IBCLC
• Stacey Beberman, M.D.
• Jennifer Belesi, DC
• Gina Maria Belsito, D.M.D.
• Robin Lynn Bertuglia, PH.D.
• Dylan Hewins Blackwell, PTA
• Emily Katherine Blake
• Jill Marie Blethen, PT
• Stephanie M. Bodor, MD
• Body N' Beyond, Inc.

• Registered Dietitian in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.