NPIMap

Organization Active NPI

Brenda J. Baillargeon, Rd, LDN

  • Registered Dietitian
  • Mendon, MA
National Provider Identifier
1982735403
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
378 Issued in MA
Legal business name
BRENDA J. BAILLARGEON, RD, LDN
Practice address
31 Hastings St
Mendon, MA 01756-1090
Phone
(508) 883-7322
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Brenda J. Baillargeon, RD, LDNNPI 1588801799
Title
Owner
Phone
(508) 883-7322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 378 MA Primary

Addresses

Primary practice location

31 Hastings St
Mendon, MA 01756-1090

Mailing address

PO Box 506
Mendon, MA 01756-0506
Phone (508) 883-7322

Other identifiers 5

IdentifierTypeStateIssuer
0000LD0021OtherMABCBS PROVIDER NUMBER
0000LG0002OtherMABCBS GROUP NUMBER
39476OtherMAHARVARD PILGRIM NUMBER
MT0225OtherMAMEDICARE, PTAN
000378OtherMATUFTS PROVIDER NUMBER

Other names 1

  • Positive Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

31 Hastings St
Mendon, MA 01756
Phone (508) 473-1200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1982735403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017560506",
            "telephone_number": "508-883-7322",
            "fax_number": "508-883-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HASTINGS ST",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561090",
            "telephone_number": "508-883-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA J. BAILLARGEON, RD, LDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BAILLARGEON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-883-7322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0000LD0021",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0000LG0002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM NUMBER",
            "identifier": "39476",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "MT0225",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "000378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.