Katelyn Ariagno, RD, LDN

Individual provider Active NPI Registered Dietitian · Boston, MA

NPI 1508933128 · NPPES record last updated Aug 27, 2008

Key facts

NPI
1508933128
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
000002757 (MA)
Practice address
300 Longwood Ave
Children'S Hospital Boston, Clinical Nutrition Services
Boston, MA 02115-5724
Phone
(617) 355-7382
Fax
(617) 730-0496
NPI assigned
Nov 29, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
000002757MAMDRegistered Dietitian
LDN00585RIMDPediatric Nutrition Registered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X LDN00585 RI
Registered Dietitian 133V00000X 000002757 MA Yes

Addresses

Primary practice location

300 Longwood Ave
Children'S Hospital Boston, Clinical Nutrition Services
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Children'S Hospital Boston, Clinical Nutrition Services
Boston, MA 02115-5724
Phone (617) 355-7382

Other providers in Boston, MA

All providers in Boston, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.