Active NPI
Kristen Pufahl Schreck, MS, RDN, LDN
- Registered Dietitian
- Melrose, MA
National Provider Identifier
1255503207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2669
- Practice address
- 67 Lovell Rd
Melrose, MA 02176-1301 - Phone
- (781) 462-1722
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2669 | MA | Primary |
Addresses
Primary practice location
67 Lovell Rd
Melrose, MA 02176-1301
Mailing address
67 Lovell Rd
Melrose, MA 02176-1301
Phone (781) 462-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2669 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1255503207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 LOVELL RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761301",
"telephone_number": "781-462-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 LOVELL RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761301",
"telephone_number": "781-462-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECK",
"first_name": "KRISTEN",
"middle_name": "PUFAHL",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.