MRS. MELISSA MCDONNELL (NPI# 1174063432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174063432 |
Entity Type | Individual |
Full Name | MRS. MELISSA MCDONNELL |
Credential | RD |
Practice Address |
333 Longwood Ave Boston MA 02115-5711 |
Practice Telephone | 6173556500 |
Practice Fax Number | 6177300495 |
Mailing Telephone | 6173556500 |
Mailing Fax Number | 6177300495 |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
4134 | MA | Dietary & Nutritional Service Providers |
Street Address |
333 LONGWOOD AVE |
City | BOSTON |
State | MA |
Zip Code | 02115-5711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285619155 | Herbert Boerstling | Pediatrics | 333 Longwood Ave, Children's Hospital, Boston, MA 02115-5711 | 2005-12-13 |
1790390771 | Amanda Welty | Student in an Organized Health Care Education/Training Program | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-09-15 |
1407466956 | Anna Docurral | Social Worker | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-08-08 |
1750917142 | Haidee Cano | Social Worker | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-03-17 |
1053950899 | Elsey Weisberg | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-12-26 |
1427699313 | Carolina Luz Ruiz Valenzuela | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-10-02 |
1184272031 | Kathryn Doss Broughton | Audiologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-09-03 |
1184187585 | Megan Skerry | Speech-Language Pathologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-04-11 |
1790253771 | Jessica Geist | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-11-07 |
1174003651 | Celina Chan | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115 | 2018-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487123121 | Lesley Frances Varone | Dietitian, Registered | 333 Longwood Ave # Lo415, Boston, MA 02115-5711 | 2018-11-23 |
1083244545 | Tina Joan Sun | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-23 |
1699324285 | Kathrina Prelack | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-09-06 |
1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
1467016857 | Allison Shaffer | Dietitian, Registered | 333 Longwood Ave Fl 4, Boston, MA 02115-5711 | 2019-05-01 |
1124511456 | Toni C Fiori | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-06-12 |
1053857540 | Sophia E. Burge | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2017-01-09 |
1710330477 | Jacqueline Marie Suarez | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-07-18 |
1144683392 | Lindsay Arnett | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2016-04-04 |
1881054823 | Yvette Penner | Dietitian, Registered | 800 Washington St, Box #44, Division of Newborn Medicine, Boston, MA 02111-1552 | 2016-03-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.