MS. TINA BOUCHER REILLY RD, LDN
NPI 1407515653
Dietitian, Registered in Roslindale, MA
- Individual
- Female
- Dietitian, Registered
About TINA REILLY
This page provides the complete NPI Profile along with additional information for Tina Reilly, a provider established in Roslindale, Massachusetts with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1407515653 assigned on December 2021. The practitioner's primary taxonomy code is 133V00000X with license number 621 (MA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1407515653 Verify this NPI
- Provider Name
- MS. TINA BOUCHER REILLY RD, LDN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1200 CENTRE ST ROSLINDALE, MA 02131
- Location Phone
- (617) 363-8241
- Mailing Address
- 1200 CENTRE ST ROSLINDALE, MA 02131
- Mailing Phone
- (617) 363-8241
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-15-2021
- Last Update Date
- 12-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 621
- License State
- MA
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 710263 |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 710263 | OTHER (01) | COMMISSION ON DIETETIC REGISTRATION | |
| 621 | OTHER (01) | MA | BOARD OF REGISTRATION OF DIETITIANS AND NUTRITIONISTS |
Reviews for MS. TINA BOUCHER REILLY RD, LDN
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROSLINDALE, MA 02131
BOSTON, MA 02131
BOSTON, MA 02131
BOSTON, MA 02131
ROSLINDALE, MA 02131
ROSLINDALE, MA 02131
ROSLINDALE, MA 02131
BOSTON, MA 02131
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407515653, enumerated as an "individual" on December 15, 2021.
The provider is located at 1200 CENTRE ST ROSLINDALE, MA 02131 and the phone number is (617) 363-8241.
Dietitian, Registered with taxonomy code 133V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
