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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 4916-NU-NU | MA | Dietary & Nutritional Service Providers |
| Street Address |
3 BOW ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-5109 |
| 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 | ||||
| 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 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| 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 |
| Find all providers in CAMBRIDGE | ||||
Please comment or provide details below to improve the information on EMILY BOUSQUIN SULLOWAY.
| 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.