JENIFER LA (NPI# 1477175131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477175131 |
| Entity Type | Individual |
| Full Name | JENIFER LA |
| Credential | RD, LDN |
| Practice Address |
218 School St Waltham MA 02451-4551 |
| Practice Telephone | 6178187672 |
| Mailing Telephone | 6178187672 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 4069 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CDR | 086030572 | 01 |
| Street Address |
218 SCHOOL ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| 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 |
|---|---|---|---|---|
| 1902459233 | Laila Shanaa | Dietitian, Registered | 109 Cushing St, Waltham, MA 02453-0426 | 2019-07-16 |
| 1477034874 | Rebecca Rand | Dietitian, Registered | 411 Waverley Oaks Rd Ste 200, Waltham, MA 02452-8437 | 2018-08-23 |
| 1225486269 | Tara Holmes | Dietitian, Registered | 85 Wetherbee Rd, Waltham, MA 02453-7624 | 2016-06-01 |
| 1649655721 | Laura Moretti | Dietitian, Registered | 20 Hope Ave Ste G10, Waltham, MA 02453-2717 | 2015-07-30 |
| 1215335609 | Amy Campbell | Dietitian, Registered | 65 Fairmont Ave, Waltham, MA 02453-7725 | 2014-12-17 |
| 1770914020 | Ruth Fitzgerald | Dietitian, Registered | 85 Cherry St, Apt 3, Waltham, MA 02453-3935 | 2013-12-11 |
| 1851664767 | Comprehensive Psychiatric Resources | Dietitian, Registered | 203 Crescent St, Suite 110, Waltham, MA 02453 | 2012-02-23 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1598376840 | Alora L Frederick | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2020-08-11 |
| 1679044291 | Tamara Luck | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2018-12-07 |
| Find all providers in WALTHAM | ||||
Please comment or provide details below to improve the information on JENIFER LA.
| 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.