Amy Allison
Individual provider Active NPI Registered Dietitian · Brockton, MA
NPI 1457718140 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1457718140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1413 (MA)
- Practice address
- 63 Main St
Brockton, MA 02301-4042 - Phone
- (508) 559-6699
- Fax
- (508) 559-5073
- NPI assigned
- Jan 26, 2016
- 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 |
|---|---|---|---|
| 1413 | MA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1413 | MA | Yes |
Addresses
Primary practice location
63 Main St
Brockton, MA 02301-4042
Mailing address
63 Main St
Brockton, MA 02301-4042
Phone (508) 238-5397
Other providers in Brockton, MA
- Alleviate Counseling
- Alleviate Services Inc
- Alliance Adult Family Care LLC
- Alliance Health of Brockton, Inc.
- Allied Pediatrics of Greater Brockton Inc.
- Michelle Allwood
- Alm Medical LLC
- Georges Almacari
- Ilona Shishko Almeida
- Lindsey Almeida
All providers in Brockton, 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 Jan 26, 2016. 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.