Karen Kiver Patalano, MBA, RD, LDN
Individual provider Active NPI Registered Dietitian · Boylston, MA
NPI 1528174232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528174232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1079 (MA)
- Practice address
- 567 Central St
Boylston, MA 01505-1523 - Phone
- (508) 869-2824
- Fax
- (508) 869-2814
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
567 Central St
Boylston, MA 01505-1523
Phone (508) 335-2452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040415000833 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 9032104591 | Practice locations: Boylston, MA; Westford, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079 | MA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1079 | MA | Yes |
Addresses
Primary practice location
567 Central St
Boylston, MA 01505-1523
Mailing address
567 Central St
Boylston, MA 01505-1523
Phone (508) 869-2824
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA32701 | Other | MA | HARVARD PILGRIM |
| LD0149 | Other | MA | BLUE CROSS BLUE SHIELD |
| 470424 | Other | MA | TUFTS HEALTH CARE |
Other providers in Boylston, MA
- Lisa Munroe, DPT, PLLC
- Luz V Mercado
- Kevin James Moyer-Wilkes
- Lisa Munroe
- Susan Ryan Palmer
- Wayne M Pineau
- Professional Dental Allaince of Massachusetts PLLC
- Michaela Rapoza
- Richer Soil Counseling LLC
- John Francis Scanlon
All providers in Boylston, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.