Eileen Bote
Individual provider Active NPI Registered Dietitian · Lenox, MA
NPI 1720510951 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1720510951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 004280-NU-NU (MA)
- Practice address
- 55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123 - Phone
- (413) 637-9991
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2017 through May 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004280-NU-NU | MA | MD | Registered Dietitian |
| 4281 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyman Integrative Therapies | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 004280-NU-NU | MA | Yes |
Addresses
Primary practice location
55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123
Mailing address
55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123
Phone (413) 637-9991
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All providers in Lenox, 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 Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.