Provider Demographics
NPI:1699894154
Name:STONE, HEATHER (RD, LDN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 MAIN ST APT D3
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1832
Mailing Address - Country:US
Mailing Address - Phone:508-698-0508
Mailing Address - Fax:508-698-3402
Practice Address - Street 1:132 CENTRAL ST
Practice Address - Street 2:SUITE 116
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2433
Practice Address - Country:US
Practice Address - Phone:508-577-3765
Practice Address - Fax:508-698-3402
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1945133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA56837OtherHARVARD PILGRIM HEALTH
MALD0190OtherBLUE CROSS BLUE SHIELD
MAAA56837OtherHARVARD PILGRIM HEALTH