Farrell Maia Frankel

Individual provider Active NPI Registered Dietitian · Newton Centre, MA

NPI 1609199702 · NPPES record last updated Apr 25, 2025

Key facts

NPI
1609199702
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN6602 (MA)
Practice address
1 Willow Ter
Newton Centre, MA 02459-1805
Phone
(917) 685-9494
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
Yes

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
LDN6602MAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN6602 MA Yes

Addresses

Primary practice location

1 Willow Ter
Newton Centre, MA 02459-1805

Mailing address

1 Willow Ter
Newton Centre, MA 02459-1805
Phone (917) 685-9494

Other providers in Newton Centre, MA

All providers in Newton Centre, MA · Registered Dietitian in Massachusetts

Sources for this page

Verify at the official NPI Registry.