DANIELLE MARIE BOURQUE RD, LDN, CD-N
NPI 1831655059
Dietitian, Registered in Wilbraham, MA

Active since February 12, 2019Accepts Medicare Assignment
470 MAIN ST, WILBRAHAM, MA 01095(413) 258-0010 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Danielle Marie Bourque Rd, Ldn, Cd-n NPPES

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

DANIELLE MARIE BOURQUE RD, LDN, CD-N (NPI 1831655059) is an individual dietitian, registered in Wilbraham, Massachusetts, licensed in Connecticut (001634) and active in the NPI registry since February 2019. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1831655059
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDANIELLE MARIE BOURQUECredential: RD, LDN, CD-N
Location Address470 MAIN STWilbraham, MA 01095-2900
Mailing Address470 Main StWilbraham, MA 01095-2900 · (860) 818-1760
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 12, 2019
NPI 1831655059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in CT · 001634 Licensed in MA · 4448 Licensed · 001634
Definition
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.
470 MAIN ST, Wilbraham, MA 01095

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Danielle Marie Bourque Rd, Ldn, Cd-n is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204176894
PECOS Enrollment IDI20200130001601

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
470 MAIN ST
WILBRAHAM, MA 01095

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 Danielle Bourque's NPI number?

The NPI number for Danielle Bourque is 1831655059. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Danielle Bourque located?

Danielle Bourque practices at 470 Main St, Wilbraham, MA 01095. The listed phone number is (413) 258-0010.

What is Danielle Bourque's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Danielle Bourque enrolled in Medicare?

Yes. Danielle Bourque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Danielle Bourque accept?

Health plans from Anthem Blue Cross and Blue Shield list Danielle Bourque 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 Danielle Bourque was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.