NPI 1285045542 · live from the CMS NPI Registry
Madison Beatty, RD
Dietitian, Registered in Woburn, MA. National Provider Identifier 1285045542, active.
NPI record
| NPI | 1285045542 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10 Tower Office Park, Woburn, MA 01801 |
| Practice phone | 401-636-1039 |
| Mailing address | 105 Tipping Rock Dr, East Greenwich, RI 02818 |
| Enumerated | May 8, 2014 |
| Last updated | May 8, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 000 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.