Kirsten Leah McEvoy, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2833 Issued in MA

Practice address

100 South St
Southbridge, MA 01550-4051

Phone

(508) 765-2294

NPI assigned

Jun 17, 2011

Last updated

Jun 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirsten Leah McEvoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellpoint Health Solutions, LLC

  • Registered Dietitian
  • Wilbraham, MA
  • NPI 1336663798

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1417242496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHARLTON ST",
            "city": "OXFORD",
            "state": "MA",
            "postal_code": "015402139",
            "telephone_number": "508-731-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-765-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "KIRSTEN",
        "middle_name": "LEAH",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "MCEVOY",
            "middle_name": "LEAH",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cali Nicole Martinelli
• Tiffany Mason, PHARMD
• Robert F. McCarron, MD
• James Francis McCullough, RDO
• Laurette E McDonald, RN BS
• Kathleen L McLeod, MSW LICSW
• Molly McNamara
• Laura McUtcheon
• Arpit Rajeshkumar Mehta, DMD
• Caitlin Ann Melia, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.