KAHM CLINIC LLC (NPI# 1366086639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366086639 |
| Entity Type | Organization |
| Organization Name | KAHM CLINIC LLC |
| Practice Address |
288 Walnut St Ste 412 Newton MA 02460-1994 |
| Mailing Address |
1474 Ethan Allen Hwy Charlotte VT 05445-9569 |
| Practice Telephone | 8028812936 |
| Mailing Telephone | 8028812936 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | NICHOLAS KAHM (CEO) |
| Authorized Official Telephone | 8028812936 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
288 WALNUT ST STE 412 |
| City | NEWTON |
| State | MA |
| Zip Code | 02460-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649741307 | Joseph Allen Jr. | Counselor | 223 Needham Street, Newton, MA 02460 | 2018-12-06 |
| 1447636204 | Ontraack Coaching & Consulting | Social Worker | 60 Austin Street Suite 101, Newton, MA 02460 | 2015-08-04 |
| 1649458274 | Opticians 3 | Eyewear Supplier (Equipment, not the service) | 336 Walnut Street, Newtonville, MA 02460 | 2008-02-06 |
| 1730376690 | Astrid H Hildebrand | Counselor | 797 Washington St., Ste 4, Newton, MA 02460 | 2007-09-25 |
| 1225232036 | Carrie J Jochelson | Counselor | 46 Austin Street, Suite 303, Newtonville, MA 02460 | 2007-06-14 |
| 1417090804 | Andrew L Epstein | Internal Medicine | The Bard Group, 246 Walnut Street, Newton, MA 02460 | 2007-02-15 |
| 1740357458 | Edwin Gordy | Family Medicine | 17 Otis St, Newton, MA 02460 | 2006-11-29 |
| 1689683120 | Donna M Weintraub | Social Worker | 38 Colonial Avenue, Newton, MA 02460 | 2006-08-05 |
| 1629086459 | Tod R Gross | Psychologist | 50 Adams Street, Newton, MA 02460 | 2006-08-04 |
| 1114925138 | Philip D Gottlieb | Psychiatry & Neurology | 246 Walnut Street, Suite 104, Newton, MA 02460 | 2005-07-13 |
| Find all providers in zip 02460 | ||||
| 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 |
|---|---|---|---|---|
| 1528671526 | Lauren Grilli Glidden | Dietitian, Registered | 58 Westminster Rd, Newton, MA 02459-2355 | 2020-08-28 |
| 1558972976 | Stacie Delucia | Dietitian, Registered | 181 Wells Ave Ste 202, Newton, MA 02459-3344 | 2020-08-10 |
| 1033738075 | Jacqueline Santiago | Dietitian, Registered | 15 Albemarle Rd, Newton, MA 02460-1105 | 2020-04-09 |
| 1821560376 | Sarah Visocky | Dietitian, Registered | 2214 Robinson Rd, Newton, NC 28658-9519 | 2018-12-21 |
| 1366931610 | Jessica Edelglass Rd LLC | Dietitian, Registered | 1121 Washington St Ste 4, Newton, MA 02465-2150 | 2018-05-02 |
| 1912416066 | Katelyn Castro | Dietitian, Registered | 1400 Centre St Ste 207, Newton, MA 02459-2415 | 2017-09-20 |
| 1700326329 | Julia Sementelli | Dietitian, Registered | 26 Clinton St, Apt 2, Newton, MA 02458-1212 | 2017-03-01 |
| 1427452358 | Kristen Vicidomino | Dietitian, Registered | 947 Chestnut St, Unit 3, Newton, MA 02464-1101 | 2014-10-21 |
| 1700203577 | Rachel Cohen | Dietitian, Registered | 108 Hagen Rd, Newton, MA 02459-2755 | 2014-03-18 |
| 1134487465 | Denise Lee Courtney | Dietitian, Registered | 128 Linwood Ave, Newton, MA 02460-1427 | 2012-04-24 |
| Find all providers in NEWTON | ||||
Please comment or provide details below to improve the information on KAHM CLINIC LLC.
| 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.