Kylie Stupalski, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5563 Issued in MA

Practice address

113 Washington St
Foxborough, MA 02035

Phone

(774) 215-5579

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Horizon LLCGroup PAC ID 8628222023, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Horizon LLC

  dba New Horizon Health and Wellness

  • Health Service Clinic/Center
  • Foxboro, MA
  • NPI 1023378601
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1801530340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "774-215-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "774-215-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPALSKI",
        "first_name": "KYLIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Smith
• Matthew S Smith
• Derek C Sople, PT, DPT
• Ruth Aimee Sotelo, LICSW
• Zoe J Sternbach, SLP
• Carlos Suero, PA-C
• Sarika Taylor
• TB12 LLC
• The Vine Christian Counseling LLC
• Total Medical Supply Inc

• Registered Dietitian in Foxborough, MA
• Providers in Foxborough, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.