| Wellpoint Health Solutions, Llc | |
|
85 Post Office Park, Wilbraham, MA 01095-1247 | |
| (413) 374-2555 | |
| Not Available |
| Full Name | Wellpoint Health Solutions, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 85 Post Office Park, Wilbraham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336663798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | NU914 (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | 914 (Massachusetts) | Primary |
| Provider Name | Kirsten Mcevoy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417242496 PECOS PAC ID: 3678733110 Enrollment ID: I20120321000195 |
| Provider Name | Stacy R Flickner-garvey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528298205 PECOS PAC ID: 0345557641 Enrollment ID: I20150918002225 |
| Provider Name | Rachel Rubin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184168957 PECOS PAC ID: 9436412830 Enrollment ID: I20180418000485 |
| Provider Name | Danielle Marie Bourque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831655059 PECOS PAC ID: 6204176894 Enrollment ID: I20190318002647 |
| Provider Name | Carol Ann Berglund |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881966216 PECOS PAC ID: 6103210042 Enrollment ID: I20220218001293 |
| Provider Name | Brandy Sarrette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871137869 PECOS PAC ID: 6800250499 Enrollment ID: I20230915000136 |
| Provider Name | Julia Paakkonen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710767983 PECOS PAC ID: 0244687317 Enrollment ID: I20240108004786 |
| Provider Name | Brianna Elyse Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710636204 PECOS PAC ID: 8729421367 Enrollment ID: I20240209003304 |
| Provider Name | Alexandra Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124887559 PECOS PAC ID: 8123563889 Enrollment ID: I20240717003318 |
| Provider Name | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609575893 PECOS PAC ID: 3577000553 Enrollment ID: I20240808001003 |
| Provider Name | Christiana Daganhardt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417664079 PECOS PAC ID: 7618406398 Enrollment ID: I20250124001620 |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpoint Health Solutions, Llc 12 /cooley Dr, Wilbraham, MA 01095 Ph: (413) 374-2555 | Wellpoint Health Solutions, Llc 85 Post Office Park, Wilbraham, MA 01095-1247 Ph: (413) 374-2555 |
Nicole A Chivas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 470 Main St, Wilbraham, MA 01095 Phone: 413-374-2555 | |
Jenna Kane, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Eastwood Dr, Wilbraham, MA 01095 Phone: 203-312-4463 | |
Ms. Mary Sheila Sullivan, M.ED, RD, CSR, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Raymond Dr, Wilbraham, MA 01095 Phone: 413-537-2426 | |
Danielle Marie Bourque, RD, LDN, CD-N Dietitian Medicare: Accepting Medicare Assignments Practice Location: 470 Main St, Wilbraham, MA 01095 Phone: 413-258-0010 | |
Ms. Paula Jeanne Serafino-cross, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2141 Boston Rd, Wilbraham, MA 01095 Phone: 413-241-6687 |