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EMBODIED NUTRITION LLC
NPI 1053906917
Clinic/Center in Wakefield, MA

Active since March 03, 2021
301 EDGEWATER PL STE 100, WAKEFIELD, MA 01880(781) 222-4640 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Embodied Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBODIED NUTRITION LLC (NPI 1053906917) is a healthcare organization registered as a clinic/center in Wakefield, Massachusetts and active in the NPI registry since March 2021. The organization lists Erin Kuta, Owner, as its authorized official.

NPPES Registry Identity

NPI1053906917
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEMBODIED NUTRITION LLC
Location Address301 EDGEWATER PL STE 100Wakefield, MA 01880-1281
Mailing Address301 Edgewater Pl Ste 100Wakefield, MA 01880-1281 · (781) 222-4640
Phone(781) 222-4640
Organization SubpartNo
Authorized OfficialErin KutaOwner · (781) 222-4640
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1053906917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
301 EDGEWATER PL STE 100, Wakefield, MA 01880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN DELLER
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (518) 944-4419
ADIA SOPHIA C KRALOVIC
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (855) 832-6272
GEHAD ASHRAF GOMAA BCABA
Assistant Behavior Analyst
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (855) 832-6727
AURELIO PABON JR.
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (178) 196-8530
DI'AJA CLAUDIA MILTON
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (855) 832-6727
TIA SKY PERKINS
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (855) 832-6727
TANYA TOVAR BCBA, LABA
Behavior Analyst
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (855) 832-6727
STEEVE SIME
Behavior Technician
301 EDGEWATER PL STE 100
WAKEFIELD, MA 01880
Middlesex County (781) 968-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embodied Nutrition LLC's NPI number?

The NPI number for Embodied Nutrition LLC is 1053906917. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Embodied Nutrition LLC located?

Embodied Nutrition LLC is located at 301 Edgewater Pl Ste 100, Wakefield, MA 01880. The listed phone number is (781) 222-4640.

What is Embodied Nutrition LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Embodied Nutrition LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Embodied Nutrition LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Embodied Nutrition LLC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.