EMILY BOUSQUIN SULLOWAY


Address: 3 Bow St, Cambridge, MA 02138-5109
Phone: 6175472255

EMILY BOUSQUIN SULLOWAY (NPI# 1174169957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174169957
Entity Type Individual
Full Name EMILY BOUSQUIN SULLOWAY
Credential MS, RDN, LDN
Practice Address 3 Bow St
Cambridge
MA 02138-5109
Practice Telephone 6175472255
Practice Fax Number 6175470003
Mailing Telephone 6175472255
Mailing Fax Number 6175470003
Enumeration Date 2019-11-27
Last Update Date 2019-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 4916-NU-NU MA Dietary & Nutritional Service Providers

Office Location

Street Address 3 BOW ST
City CAMBRIDGE
State MA
Zip Code 02138-5109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770120545 Margaret Blatchford Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2019-11-29
1689211450 Allison Depaolo Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2019-11-29
1508409012 Alyssa Demoulas Counselor 3 Bow St, Cambridge, MA 02138-5109 2019-10-28
1720639255 Vivian Lee Counselor 3 Bow St, Cambridge, MA 02138-5109 2019-09-25
1285190645 Rachel Danielle Lebarron Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2019-02-11
1205318037 Melanie Schermerhorn Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2018-08-29
1417436692 Katrina Pauline Karbowniczak Nurse Practitioner 3 Bow St, Cambridge, MA 02138-5109 2018-08-09
1447743406 Jennifer L Duppert Nurse Practitioner 3 Bow St, Cambridge, MA 02138-5109 2018-06-13
1912406331 Emilie Sjostrom Burgess Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2018-02-12
1174030027 Marissa Puputti Dietitian, Registered 3 Bow St, Cambridge, MA 02138-5109 2018-01-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618610 Khushboo Vijay Bhatia Student in an Organized Health Care Education/Training Program Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 2020-08-06
1780204156 Ashna Grover Student in an Organized Health Care Education/Training Program 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 2020-04-25
1790330298 Cambridge Periodontics LLC Dentist 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 2019-08-02
1295389765 Yulia Levit Technician/Technologist 1208 Massachussets Av, Cambridge, MA 02138 2019-08-01
1720645393 Chinmay Tusharkumar Jani Student in an Organized Health Care Education/Training Program Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 2019-05-20
1386209831 Alexander Ryan Walker Internal Medicine 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 2019-05-09
1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
1174984827 Jenna Mezin Schmid Psychologist 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 2016-03-09
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356958003 Cameron Allen Mcdonald Dietitian, Registered 567 Putnam Ave Apt 2, Cambridge, MA 02139-4834 2020-09-27
1245843440 Nourish for Life Dietitian, Registered 126 Prospect St Ste 6, Cambridge, MA 02139-2540 2020-08-26
1144853979 Robin Amylon Dietitian, Registered 215 1st St, Cambridge, MA 02142-1213 2020-02-20
1992353163 Sarah Andrus Dietitian, Registered 2 Leighton St Apt 621, Cambridge, MA 02141-1861 2019-08-29
1801443825 Katharine Bauer Dietitian, Registered 1 Aberdeen Way Ste 124, Cambridge, MA 02138-4659 2019-08-23
1861050049 Rebecca Marie Addison Dietitian, Registered 75 Auburn St, Cambridge, MA 02139 2019-06-03
1750859286 Lisa Marie Keovongsa Dietitian, Registered 186 1/2 Hampshire St., Cambridge, MA 02139 2018-11-02
1013499409 Eliza Mellion Dietitian, Registered 65 Walden St Apt 1r, Cambridge, MA 02140-3399 2018-08-31
1447744313 Catherine Fanning Dietitian, Registered 128 Magazine St Apt 16, Cambridge, MA 02139-3920 2018-06-14
1063870038 Kelli Swensen Dietitian, Registered 160 Cambridge Park Dr, 168, Cambridge, MA 02140 2016-02-05
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Competitor

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City CAMBRIDGE
Zip Code 02138

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Dataset Information

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.

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