Danielle N Allen
Individual provider Active NPI Registered Dietitian · Medway, MA
NPI 1780148189 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1780148189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 4650 (MA)
- Practice address
- 165 Main St Unit 201
Medway, MA 02053-1584 - Phone
- (207) 227-9131
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4650 | MA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4650 | MA | Yes |
Addresses
Primary practice location
165 Main St Unit 201
Medway, MA 02053-1584
Mailing address
30 Pleasant St
Upton, MA 01568-1428
Phone (207) 227-9131
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All providers in Medway, 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 May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.