SIMPSON INFIRMARY (WELLESLEY COLLEGE HEALTH SERVICE) NPI 1366573891

Nutritionist (Nutrition, Education) in Wellesley, MA

NPI 1366573891 Organization Nutritionist Nutrition, Education CLIA Number 22D0079139 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About SIMPSON INFIRMARY (WELLESLEY COLLEGE HEALTH SERVICE)

Simpson Infirmary (wellesley College Health Service) is a provider established in Wellesley, Massachusetts specializing in nutritionist (nutrition, education) . The NPI number of Simpson Infirmary (wellesley College Health Service) is 1366573891 and was assigned on March 2007. The practitioner's primary taxonomy code is 133NN1002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Simpson Infirmary (wellesley College Health Service) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Simpson Infirmary. The authorized official of this NPI record is Dr. Vanessa Britto Md (Director)

The CLIA number of Simpson Infirmary is 22D0079139 registered as a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Simpson Infirmary in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1366573891

Provider NameSIMPSON INFIRMARY (WELLESLEY COLLEGE HEALTH SERVICE)
Provider Location Address106 CENTRAL ST WELLESLEY, MA 02481
Provider Mailing Address106 CENTRAL ST WELLESLEY, MA 02481
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSIMPSON INFIRMARY
Other Name TypeOther Name (5)
Enumeration Date03-08-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code133NN1002X
ClassificationNutritionist
TypeDietary & Nutritional Service Providers
SpecializationNutrition, Education

Business Address

SIMPSON INFIRMARY
106 CENTRAL ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 283-2810
Fax: (781) 283-3693

Get Directions


Mailing Address

SIMPSON INFIRMARY
106 CENTRAL ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 283-2810
Fax: (781) 283-3693



Authorized Official

Authorized Official NameDR. VANESSA BRITTO MD
Authorized Official TitleDIRECTOR
Authorized Official Phone(781) 283-2810

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1366573891 is:

CLIA Number22D0079139
Facility TypeSCHOOL/STUDENT HEALTH SERVICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineN/A

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerN/A

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760419709 JENNIFER GRUNZWEIG MS, LATC
Individual
Specialist/Technologist (Athletic Trainer)106 CENTRAL ST KEOHANE SPORTS CENTER
WELLESLEY, MA 02481
(781) 283-2388
1457418634 VANESSA M BRITTO M.D.
Individual
Internal Medicine106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1861603896MRS. MARTINA RICHARDS APRN, BC
Individual
Nurse Practitioner (Adult Health)106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1003027574 KRISTEN CAHILL APRN
Individual
Nurse Practitioner (Family)106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1053550640DR. TRACY REBECCA GLADSTONE PH.D.
Individual
Psychologist (Clinical)106 CENTRAL ST WELLESLEY COLLEGE -STONE CENTER
WELLESLEY, MA 02481
(781) 283-2558
1164655320MRS. MARY BONNER SEAY WHNP
Individual
Nurse Practitioner (Women's Health)106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1104131010 VALERIE C HAINES
Individual
Nurse Practitioner106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1659737179 JANET PARK
Individual
Psychologist (Counseling)106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2839
1780004044 JERI RICCI
Individual
Nurse Practitioner (Adult Health)106 CENTRAL ST
WELLESLEY, MA 02481
(781) 283-2810
1366642282 MARION RUSSELL MD
Individual
Psychiatry & Neurology (Psychiatry)106 CENTRAL ST
WELLESLEY, MA 02481
(817) 283-2839

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.