Active NPI
Katie Bradford
- Registered Dietitian
- Burlington, MA
National Provider Identifier
1730240128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2509
- Legal business name
- KATIE BRADFORD
- Practice address
- 418 Farms Dr
Burlington, MA 01803-3744 - Phone
- (617) 233-7802
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Bradford, RD
- Title
- Registered Dietitian
- Phone
- (617) 233-7802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2509 | MA | Primary |
Addresses
Primary practice location
418 Farms Dr
Burlington, MA 01803-3744
Mailing address
418 Farms Dr
Burlington, MA 01803-3744
Phone (617) 233-7802
Other names 1
- Nutrition & Lifestyle Consulting
National Provider Directory
National Provider DirectoryLocations
85 Eastern Ave
Ste 202
Gloucester, MA 01930
Phone (617) 233-7802
Practitioners & affiliated clinicians
Practitioners 1
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": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730240128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 FARMS DR",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033744",
"telephone_number": "617-233-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 FARMS DR",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033744",
"telephone_number": "617-233-7802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE BRADFORD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "617-233-7802",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrition & Lifestyle Consulting",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.