Carol Ann Berglund, RD
Individual provider Active NPI Registered Dietitian · Leicester, MA
NPI 1881966216 · NPPES record last updated Feb 1, 2012
Key facts
- NPI
- 1881966216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3040 (MA)
- Practice address
- 10 Meadow LN
Leicester, MA 01524-2131 - Phone
- (508) 892-1300
- Fax
- (508) 892-0200
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellpoint Health Solutions LLC
Practice addresses (Care Compare)
95 Post Office Park
Suite 9523
Wilbraham, MA 01095-1199
Phone (413) 258-0010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220218001293 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 6103210042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellpoint Health Solutions, LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
95 Post Office Park
Ste 9523
Wilbraham, MA 01095
Phone (413) 258-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3040 | MA | Yes |
Addresses
Primary practice location
10 Meadow LN
Leicester, MA 01524-2131
Mailing address
10 Meadow LN
Leicester, MA 01524-2131
Phone (508) 892-1300
Other providers in Leicester, MA
- Ashley Morgan Armington
- Kerri Weise Augusto
- Christine Babraitis
- Kate Bard
- Samantha Elizabeth Bergeron
- Kendra Marie Beveridge
- Caitlin Marie Bonneville
- Dana Booth
- James Buzzell
- Stephen Cannon
All providers in Leicester, 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 Feb 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.