Christina Aquila, R.D.
Individual provider Active NPI Registered Dietitian · Lebanon, NH
NPI 1942528146 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1942528146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1044 (NH)
- Practice address
- 18 Old Etna Rd
Lebanon, NH 03766-1937 - Phone
- (603) 650-5000
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200814001493 | NH | Practitioner - Registered Dietitian Or Nutrition Professional | 6204252745 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044 | NH | MD | Chiropractor |
| CDR 969677 | CA | MD | Registered Dietitian |
| 074.0134193 | VT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
18 Old Etna Rd
Lebanon, NH 03766
Phone (603) 650-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | CDR 969677 | CA | |
| Registered Dietitian | 133V00000X | 074.0134193 | VT | |
| Registered Dietitian | 133V00000X | 1044 | NH | Yes |
Addresses
Primary practice location
18 Old Etna Rd
Lebanon, NH 03766-1937
Mailing address
1 Medical Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other practice location 1
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (760) 471-2743
Other names
- Christina Johnston
Other providers in Lebanon, NH
- Christine E Anzalone
- Yuki Aoyagi
- Savinda Aponso
- Devin Marie Applebee
- Teimuraz Apridonidze
- John W Arbogast III
- Luke J Archibald
- Erika Argersinger
- Aria Hearing LLC
- Daniel S Aridgides
All providers in Lebanon, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.