Provider Demographics
NPI:1457324386
Name:FELDMAN, ANN P (MS, RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:P
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 NATICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3147
Mailing Address - Country:US
Mailing Address - Phone:339-987-8020
Mailing Address - Fax:
Practice Address - Street 1:1 JOSLIN PLACE
Practice Address - Street 2:JOSLIN DIABETES CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-309-4418
Practice Address - Fax:617-309-2575
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA775133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA680078OtherTUFTS HEALTH PLAN
MA0015214OtherNEIGHBORHOOD HEALTH PLAN
MALD0099OtherBLUE CROSS
MAPQ130OtherHARVARD PILGRIM
MA680078OtherTUFTS HEALTH PLAN