NPIMap

Individual provider Active NPI

Polly Normand, MPH, RD, LDN, CDE

  • Registered Dietitian
  • Northampton, MA
National Provider Identifier
1528088317
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2232 Issued in MA
Practice address
3 Fruit St
Northampton, MA 01060-3807
Phone
(413) 786-2957
Fax
(413) 786-2977
NPI assigned
Jul 21, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2232 MA Primary

Addresses

Primary practice location

3 Fruit St
Northampton, MA 01060-3807

Mailing address

3 Fruit St
Northampton, MA 01060-3807
Phone (413) 786-2957

Other identifiers 6

IdentifierTypeStateIssuer
4609501OtherMACIGNA
11326384OtherMACAQH
35122OtherMAHEALTH NEW ENGLAND
LD0152OtherMABLUE CROSS BLUE SHIELD
AA59459OtherMAHARVARD PILGRIM
469911OtherMATUFTS

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

State licenses

LicenseStateTypeSpecialty
2232MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Dell Cannata Dietitian, Registered Past Accepting new patients
Pioneer Valley Nutrition, Inc. Dietitian, Registered PastSince May 22, 2006 Accepting new patients
Pioneer Valley Nutrition, Inc. Dietitian, Registered PastSince Mar 3, 2009 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1528088317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FRUIT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603807",
            "telephone_number": "413-786-2957",
            "fax_number": "413-786-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRUIT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603807",
            "telephone_number": "413-786-2957",
            "fax_number": "413-786-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAND",
        "first_name": "POLLY",
        "credential": "MPH, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4609501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11326384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "35122",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LD0152",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA59459",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.