NPIMap

Organization Active NPI

Pioneer Valley Nutrition, Inc.

  • Registered Dietitian
  • Northampton, MA
National Provider Identifier
1679713242
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2232 Issued in MA
Legal business name
PIONEER VALLEY NUTRITION, INC.
Practice address
39 Carlon Dr
Northampton, MA 01060-2374
Phone
(413) 584-2200
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Polly Obremski, RD, LDN, CDE
Title
Director
Phone
(413) 584-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 2232 MA Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1206 MA

Addresses

Primary practice location

39 Carlon Dr
Northampton, MA 01060-2374

Mailing address

PO Box 1720
Northampton, MA 01061-1720
Phone (413) 584-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1679713242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1720",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010611720",
            "telephone_number": "413-584-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CARLON DR",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602374",
            "telephone_number": "413-584-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "OBREMSKI",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-584-2200",
        "authorized_official_credential": "RD, LDN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2232",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.