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Ilze Kiselis , MSRD LDN

Nutritionist β€’ Worcester, MA

Active NPI 1982702304 Individual Practitioner Female Practitioner
Practice location in NPPES

5 Neponset St
Worcester, MA 016062714

Call 5088526175 Location details and other listings
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This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5 Neponset St

Worcester, MA 016062714

Telephone 5088526175
Fax 5085952123
Organization at the Same NPPES Address or Phone
Reliant Medical Group, Inc Facility NPI 1720017528

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Worcester and Massachusetts

7 active clinicians are listed under Nutritionist with a practice address in Worcester, MA (121 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nutritionist Primary Specialty

NUCC Taxonomy Code: 133N00000X

License # reported to NPPES MA 632

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES MA 632

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Fallon Community Health P
67853
Other Identifier Blue Cross
LD0139
Other Identifier Private Healthcare System
042472266
Other Identifier Harvard Pilgrim Healthcar
AA16844
Other Identifier Three Rivers
042472266
Other Identifier Aetna Us Healthcare
7001600

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Myra Cacace , GNP, ADM-BC, CDE

Nurse Practitioner - Primary Care

NPI 1518956010

GNP, ADMBC, Certified Diabetes Educator

NPI 1043326721
NPI 1124132881

RDLDN

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 26, 2018

Registered at 5 NEPONSET ST, WORCESTER, MA 016062714 (Tel: 5088526175)

πŸ“
Updated Business Mailing Address September 26, 2018

Registered at 5 NEPONSET ST FL STREET12, WORCESTER, MA 016062714 (Tel: 5088526175)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Dietitian, Registered (license number reported to NPPES: MA 632)

βœ…
NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 31, 2012

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5088526175)

πŸ“
Business Mailing Address (Initial Record) October 31, 2012

Registered at 630 PLANTATION STREET, WORCESTER, MA 01605 (Tel: 5088526175)

πŸ‘€
Provider Name / Credentials (Initial Record) October 31, 2012

Recorded as ILZE KISELIS, MSRD LDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Nutritionist (license number reported to NPPES: MA 632)

🟒
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982702304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: September 26, 2018
Sole Proprietor: No

Other Nutritionists in Worcester

Healthcare providers in Worcester

Mailing Address

5 Neponset St Fl Street12

Worcester, MA 016062714

Phone: 5088526175

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.