Individual provider Active NPI

Brenda Baillargeon, R.D., L.D.N.

  • Registered Dietitian
  • Mendon, MA
National Provider Identifier
1588801799
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
378 Issued in MA
Practice address
31 Hastings St
Mendon, MA 01756-1090
Phone
(508) 883-7322
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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 378 MA Primary

Addresses

Primary practice location

31 Hastings St
Mendon, MA 01756-1090

Mailing address

PO Box 506
31 Hastings St.
Mendon, MA 01756-0506
Phone (508) 883-7322

Other identifiers 1

IdentifierTypeStateIssuer
MT0225OtherMAMEDICARE, PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000003 MA Practitioner - Registered Dietitian Or Nutrition Professional 5395753727 Practice locations: Mendon, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
378MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda J. Baillargeon, Rd, LDN Dietitian, Registered PastSince Jan 1, 1990 Accepting new patients

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1588801799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "address_2": "31 HASTINGS ST.",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017560506",
            "telephone_number": "508-883-7322",
            "fax_number": "508-883-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HASTINGS ST",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561090",
            "telephone_number": "508-883-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLARGEON",
        "first_name": "BRENDA",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "MT0225",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.