Marybeth Reardon, M.S.,R.D., L.D.N
NPI 1295950970ActiveIndividual· Nutritionist· Waban, MA
Nutritionist (M.S.,R.D., L.D.N) in Waban, Massachusetts, licensed in MA, with an NPI issued in April 2007. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1295950970 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.,R.D., L.D.N |
| Sole proprietor | Yes |
| NPI issued | Apr 16, 2007 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | 3553 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (MA) |
|---|