KYLE R. MAIORANA (NPI# 1861756264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861756264 |
| Entity Type | Individual |
| Full Name | KYLE R. MAIORANA |
| Credential | R.D., L.D.N. |
| Practice Address |
130 Quincy Ave Brockton MA 02302-2803 |
| Mailing Address |
680 Centre St Brockton MA 02302-3308 |
| Practice Telephone | 5089417253 |
| Practice Fax Number | 5089416412 |
| Mailing Telephone | 5089417885 |
| Mailing Fax Number | 5089416337 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3230 | MA | Dietary & Nutritional Service Providers |
| Street Address |
130 QUINCY AVE |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295772309 | Felix U Mayers | Internal Medicine | 130 Quincy Ave, Brocton Hospital, Brockton, MA 02302-2803 | 2006-05-31 |
| 1124433347 | Eduardo Moraes Leao Peixoto | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2014-06-26 |
| 1740621051 | Maulshree Gupta | Family Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2013-07-15 |
| 1477893071 | Gairlande Audiesse-vital | Registered Nurse | 130 Quincy Ave, Brockton, MA 02302-2803 | 2013-02-20 |
| 1083942270 | Katia Christine Korte | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2009-11-26 |
| 1053540492 | Mohammed Hamid | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2009-07-07 |
| 1588819759 | Jaclynne Suzanne Benoit | Speech-Language Pathologist | 130 Quincy Ave, Brockton, MA 02302-2803 | 2008-12-01 |
| 1285810424 | Engel Berto Bido Santos | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2008-01-17 |
| 1407918758 | Sandra A Ambrose | Nutritionist | 130 Quincy Ave, Brockton, MA 02302-2803 | 2006-12-14 |
| 1518990829 | Alphonse Wilfred | Internal Medicine | 130 Quincy Ave, Brockton, MA 02302-2803 | 2006-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| 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 |
|---|---|---|---|---|
| 1215310669 | Jordan Lynn Boucher | Dietitian, Registered | 110 Liberty St Ste 2a, Brockton, MA 02301-5674 | 2015-07-02 |
| 1487820080 | Patricia Ann Bebo | Dietitian, Registered | 54 Rutland Sq, Suite 2, Brockton, MA 02301-6825 | 2008-05-02 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1497319404 | Kathryn Lyons Egan | Dietitian, Registered | 940 Belmont St, Brockton, MA 02301-5596 | 2019-04-24 |
| 1952883274 | Sarah Federoff | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2018-09-04 |
| 1437699394 | Linda Bang Le | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2017-02-27 |
| 1649716895 | Genevieve Hicks | Dietitian, Registered | 63 Main St, Brockton, MA 02301-4042 | 2017-01-12 |
| 1932643863 | Kathryn Morin | Dietitian, Registered | 680 Centre St, Brockton Hospital, Dietitians Office, Brockton, MA 02302-3308 | 2016-12-12 |
| 1083156392 | Jonathan Zangwill | Dietitian, Registered | 680 Centre St, Signature Healthcare Brockton Hospital - Food/nutrition, Brockton, MA 02302-3308 | 2016-11-17 |
| 1831553981 | Amanda Good Heintzelman | Dietitian, Registered | 940 Belmont St, Brockton, MA 02301-5596 | 2016-04-05 |
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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.