NPI 1033463146 · live from the CMS NPI Registry
A Healthy Balance, INC.
Dietitian, Registered in Quincy, MA. National Provider Identifier 1033463146, active.
NPI record
| NPI | 1033463146 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 14b Alleyne Street, Quincy, MA 02169 |
| Practice phone | 617-479-0500 |
| Enumerated | October 29, 2012 |
| Last updated | December 5, 2012 |
| Authorized official | Nicole Tierney, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 3125 (MA) |
| Dietitian, Registered | 133V00000X | 3397 (MA) |
| Dietitian, Registered | 133V00000X | 3401 (MA) |
| Dietitian, Registered primary | 133V00000X | 2917 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.