Bonney Couper-Kiablick
Individual provider Active NPI Registered Dietitian · Pelham, MA
NPI 1619707437 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1619707437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN7658 (MA)
- Practice address
- 11 Enfield Rd
Pelham, MA 01002-9736 - Phone
- (413) 522-7568
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN7658 | MA | Yes |
Addresses
Primary practice location
11 Enfield Rd
Pelham, MA 01002-9736
Mailing address
11 Enfield Rd
Pelham, MA 01002-9736
Other providers in Pelham, MA
- Jeffrey Aldeus
- Rachel Andres
- Lamar Josef Batiste
- Rebecca E. Carroll
- Madelyn Christiansen
- Marta H Dardano
- Zahava Friedman
- Jane Cagen Giat
- Abigail Jenks
- Jessica King LMHC PC
All providers in Pelham, 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 Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.