NPI 1619633195 · live from the CMS NPI Registry
Marta E Banuelos, MS, CNS
Dietitian, Registered in Boston, MA. National Provider Identifier 1619633195, active.
NPI record
| NPI | 1619633195 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 504 Beacon St Ste 1, Boston, MA 02115 |
| Practice phone | 415-999-8393 |
| Enumerated | November 9, 2021 |
| Last updated | July 2, 2026 |
| Sole proprietor | Yes |
| Other names | Marta Oltarzewski |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 19289 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.