Individual provider Active NPI

Paula Jeanne Serafino-Cross, MS, RD, LDN

  • Registered Dietitian
  • Wilbraham, MA
National Provider Identifier
1942434477
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
165 Issued in MA
Practice address
2141 Boston Rd
Wilbraham, MA 01095-1253
Phone
(413) 241-6687
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 165 MA Primary

Addresses

Primary practice location

2141 Boston Rd
Wilbraham, MA 01095-1253

Mailing address

38 Longview Dr
Wilbraham, MA 01095-2548
Phone (413) 949-0474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
165MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1942434477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LONGVIEW DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010952548",
            "telephone_number": "413-949-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951253",
            "telephone_number": "413-241-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINO-CROSS",
        "first_name": "PAULA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.