Active NPI
Kristine Miklos
- Registered Dietitian
- Charlestown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4694
- Practice address
- 529 Main St Ofc 334
Charlestown, MA 02129-1125 - Phone
- (617) 999-3896
- Fax
- (877) 743-5351
- NPI assigned
- Jun 12, 2019
- Last updated
- Sep 13, 2021
- 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 | 4694 | MA | Primary |
Addresses
Primary practice location
529 Main St Ofc 334
Charlestown, MA 02129-1125
Mailing address
165 Cambridge St Ste 402
Boston, MA 02114-2750
Phone (617) 726-2779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
529 Main St Ofc
Suite 334
Charlestown, MA 02129-1125
80 Palomino LN
Suite 101
Bedford, NH 03110-6447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Current | Accepting new patients |
Locations
606 Broadway
Haverhill, MA 01832
Phone (978) 290-0568
80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936
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, 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": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1528627528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CAMBRIDGE ST STE 402",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142750",
"telephone_number": "617-726-2779",
"fax_number": "877-743-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAIN ST OFC 334",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291125",
"telephone_number": "617-999-3896",
"fax_number": "877-743-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKLOS",
"first_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2021-09-13",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.