Active NPI
Haley Kathleen Guinan, MS, RD, LDN
- Registered Dietitian
- Worcester, MA
National Provider Identifier
1467132746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5682
- Practice address
- 12 Chevy Chase Rd
Worcester, MA 01606-2515 - Phone
- (774) 272-3943
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 5682 | MA | Primary |
Addresses
Primary practice location
12 Chevy Chase Rd
Worcester, MA 01606-2515
Mailing address
12 Chevy Chase Rd
Worcester, MA 01606-2515
Phone (774) 272-3943
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 |
|---|---|---|---|
| 5682 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
1266 Furnace Brook Pkwy
Ste 404
Quincy, MA 02169
Phone (617) 481-9395
Organizations & group practices 2
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": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1467132746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CHEVY CHASE RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062515",
"telephone_number": "774-272-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CHEVY CHASE RD",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062515",
"telephone_number": "774-272-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINAN",
"first_name": "HALEY",
"middle_name": "KATHLEEN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.