NPI 1811264419 · live from the CMS NPI Registry
Kara Beasley, MS RD LDN
Dietitian, Registered in Brookline, MA. National Provider Identifier 1811264419, active.
NPI record
| NPI | 1811264419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1330 Beacon St, Suite 225, Brookline, MA 02446 |
| Practice phone | 617-332-2700 |
| Mailing address | 168 Winthrop Rd, Apt 8, Brookline, MA 02445 |
| Enumerated | November 27, 2011 |
| Last updated | November 27, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3146 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.