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KIDNEY NUTRITION CONSULT, LLC
NPI 1659956241
Dietitian, Registered - Nutrition, Renal in Quincy, MA

Active since March 15, 2021
285 VICTORY RD, QUINCY, MA 02171(617) 320-2804 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2021, Mar 15, 2021 (2 updates tracked since 2021).

About Kidney Nutrition Consult, Llc NPPES

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

KIDNEY NUTRITION CONSULT, LLC (NPI 1659956241) is a healthcare organization registered as a nutrition, renal in Quincy, Massachusetts and active in the NPI registry since March 2021. The organization lists Haewook Han, Owner, as its authorized official.

NPPES Registry Identity

NPI1659956241
Entity TypeOrganization
Primary Taxonomy133VN1005X
Legal Business NameKIDNEY NUTRITION CONSULT, LLC
Location Address285 VICTORY RDQuincy, MA 02171-3137
Mailing Address285 Victory RdQuincy, MA 02171-3137 · (617) 320-2804
Phone(617) 320-2804
Organization SubpartNo
Authorized OfficialHaewook HanOwner · (617) 320-2804
Enumeration DateMarch 15, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1659956241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
285 VICTORY RD, Quincy, MA 02171
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Nutrition Consult, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney Nutrition Consult, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Haewook Han, PHD, RD, CSR, LDN
Registered Dietitian or Nutrition Professional
NPI 1053506618
133 BROOKLINE AVE
Boston, MA 02215
(617) 421-1380
✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kidney Nutrition Consult, LLC's NPI number?

The NPI number for Kidney Nutrition Consult, LLC is 1659956241. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Kidney Nutrition Consult, LLC located?

Kidney Nutrition Consult, LLC is located at 285 Victory Rd, Quincy, MA 02171. The listed phone number is (617) 320-2804.

What is Kidney Nutrition Consult, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Is Kidney Nutrition Consult, LLC enrolled in Medicare?

Yes. Kidney Nutrition Consult, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Nutrition Consult, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Kidney Nutrition Consult, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Nutrition Consult, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kidney Nutrition Consult, 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 Kidney Nutrition Consult, LLC was last updated on May 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.