Abigail Usen Berner, MS, RD, LDN

Individual provider Active NPI Registered Dietitian · Brewster, MA

NPI 1508068180 · NPPES record last updated Apr 27, 2012

Key facts

NPI
1508068180
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2170 (MA)
Practice address
26 Wampum Dr
Brewster, MA 02631-1956
Phone
(508) 896-9080
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Live Nutrition Inc Dietitian, Registered Past
since Oct 1, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2170 MA Yes

Addresses

Primary practice location

26 Wampum Dr
Brewster, MA 02631-1956

Mailing address

26 Wampum Dr
P.O Box 1709
Brewster, MA 02631-1956
Phone (508) 896-9080

Other identifiers

IdentifierTypeStateIssuer
002556001OtherMAMEDICARE PTAN

Other names

  • Ms. Abigail Katherine Usen Former name

Other providers in Brewster, MA

All providers in Brewster, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.