Charity Garland
Individual provider Active NPI Registered Dietitian · Hanscom Afb, MA
NPI 1265130710 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1265130710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86150229 (MA)
- Practice address
- 33 Mayflower Rd
Hanscom Afb, MA 01731-2649 - Phone
- (360) 865-7860
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150229 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Nutrition and Strength LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86150229 | MA | Yes |
Addresses
Primary practice location
33 Mayflower Rd
Hanscom Afb, MA 01731-2649
Mailing address
33 Mayflower Rd
Hanscom Afb, MA 01731-2649
Phone (360) 865-7860
Other providers in Hanscom Afb, MA
- Glenn Emery Degere
- David Anthony Digregorio
- Mohammed Fuad
- Andrea Lynne Galeucia
- Timothy Alan Gameros
- John David Gerhauser
- Frank Allen Glenn
- Ryan Gray
- Ryan R Gustafson
- Jose Gutierrez Jr.
All providers in Hanscom Afb, 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 Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.