Ted Ryan Harper, MS, RD, CSSD, LDN
Individual provider Active NPI Registered Dietitian · Foxborough, MA
NPI 1801101175 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1801101175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN-3478 (MA)
- Practice address
- 1 Patriot Place
Gillette Stadium
Foxborough, MA 02035-1388 - Phone
- (508) 549-0035
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN-3478 | MA | MD | Registered Dietitian |
| LD-0786 | NM | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0786 | NM | |
| Registered Dietitian | 133V00000X | LDN-3478 | MA | Yes |
Addresses
Primary practice location
1 Patriot Place
Gillette Stadium
Foxborough, MA 02035-1388
Mailing address
101 South Ave Unit 902
Attleboro, MA 02703-4590
Phone (317) 626-7280
Other providers in Foxborough, MA
- David Granito
- Anne Elizabeth Grossman
- Keri Lee Grothe
- Nolan Hanrahan
- Julianna Harder
- Robin Harris
- Timothy Harrold
- Ken Harvey
- Rebecca Hastings
- Melissa Anne Hathaway
All providers in Foxborough, 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 Oct 1, 2013. 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.