Nicole A Chivas, RDN
Individual provider Active NPI Registered Dietitian · Wilbraham, MA
NPI 1285199828 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1285199828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 470 Main St
Wilbraham, MA 01095-2900 - Phone
- (413) 374-2555
- NPI assigned
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4766 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
470 Main St
Wilbraham, MA 01095-2900
Mailing address
12 Boutin St
Chicopee, MA 01020-3827
Phone (413) 335-9137
Other providers in Wilbraham, MA
- Alyssa Marie Charbonneau
- Dusty Marie Charbonneau
- Elaine Charest
- Ashley Charette
- Jenny Chen
- Anita Chopra
- Cyril Chou
- Anaralis Marie Cintron
- Samuel Clarke
- Subha T Clarke
All providers in Wilbraham, 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 7, 2019. 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.