Active NPI
Rachel Dyer Pernick, R.D
- Registered Dietitian
- Brewster, MA
National Provider Identifier
1467736033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 26 Wampum Dr
Brewster, MA 02631-1956 - Phone
- (508) 896-9080
- NPI assigned
- Sep 30, 2011
- 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 | Primary |
Addresses
Primary practice location
26 Wampum Dr
Brewster, MA 02631-1956
Mailing address
535 Mistic Dr
Marstons Mills, MA 02648-1407
Phone (774) 238-0983
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Nutrition Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1467736033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MISTIC DR",
"city": "MARSTONS MILLS",
"state": "MA",
"postal_code": "026481407",
"telephone_number": "774-238-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 WAMPUM DR",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311956",
"telephone_number": "508-896-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNICK",
"first_name": "RACHEL",
"middle_name": "DYER",
"name_prefix": "Miss",
"credential": "R.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, MA
- Allison Noyes, OTR/L
- Thomas Francis Obrien, MA MSW LICSW
- Michele Louise Oconnor, OTR/L
- Out of the Ash LLC
- Michele Pavlu, ATC, LAT
- Physical Therapy 2 Go, LLC
- Marrissa Pinto
- Pleasant Bay Health and Living Centers, LLC
- Pleasant Bay Health and Wellness Center LLC
- Pleasant Bay of Brewster Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.