Organization Active NPI

Kristine Berube Wellness

  • Registered Dietitian
  • Jamaica Plain, MA
National Provider Identifier
1730980483
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KRISTINE BERUBE WELLNESS
Practice address
3 Oakdale St Apt 2
Jamaica Plain, MA 02130-5104
Phone
(978) 340-8834
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Kristine Berube, RD, LDN
Title
Practice Owner/Registered Dietitian
Phone
(978) 340-8834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3 Oakdale St Apt 2
Jamaica Plain, MA 02130-5104

Mailing address

3 Oakdale St Apt 2
Jamaica Plain, MA 02130-5104
Phone (978) 340-8834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1730980483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAKDALE ST APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305104",
            "telephone_number": "978-340-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OAKDALE ST APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305104",
            "telephone_number": "978-340-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE BERUBE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRACTICE OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "978-340-8834",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.