Individual provider Active NPI

Cristine Seitz, MS RD LDN

  • Registered Dietitian
  • Brookline, MA
National Provider Identifier
1700121969
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3399 Issued in MA
Practice address
17 Station St Ste 100
Brookline, MA 02445-7995
Phone
(774) 315-3056
Fax
(857) 216-8558
NPI assigned
Nov 29, 2012
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 3399 MA Primary

Addresses

Primary practice location

17 Station St Ste 100
Brookline, MA 02445-7995

Mailing address

17 Station St Ste 100
Brookline, MA 02445-7995
Phone (774) 315-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130329000163 MA Practitioner - Registered Dietitian Or Nutrition Professional 4183869878 Reassigns benefits to 1 organization
Practice locations: Brookline, MA
I20240131002686 TX Practitioner - Registered Dietitian Or Nutrition Professional 4183869878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Station St
Suite 100
Brookline, MA 02445-7995
Phone (774) 315-3056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3399MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Jan 12, 2024 Accepting new patients

Locations

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 2

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1700121969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STATION ST STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457995",
            "telephone_number": "774-315-3056",
            "fax_number": "857-216-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STATION ST STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457995",
            "telephone_number": "774-315-3056",
            "fax_number": "857-216-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "CRISTINE",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.