Organization Active NPI

Katie Bradford

  • Registered Dietitian
  • Burlington, MA
National Provider Identifier
1730240128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2509 Issued in MA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katie Bradford, RDNPI 1184793747
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.