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Active NPI 1720181118 Individual Practitioner Female Practitioner

Sandra Graham Peck , EDM RD

Dietitian, Registered • Acton, MA

Professional Overview & Biography Verified Profile Summary

Sandra Peck, EDM RD is a registered healthcare professional specializing in Dietitian, Registered in Acton, MA. Practice services are available at 481 GREAT ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

481 Great Road
Suite 10

Acton, MA 01720

Telephone 9782661576

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Acton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Acton, MA (2262 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MA 60

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Harvard Pilgrim
39477 (MA)
Commercial Insurance / Payer ID Tufts
467468 (MA)
Commercial Insurance / Payer ID Blue Cross Blue Shield
LD0016 (MA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 08, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2012

Registered at 481 GREAT ROAD, SUITE 10, ACTON, MA 01720 (Tel: 9782661576)

📍
Updated Business Mailing Address November 08, 2012

Registered at 481 GREAT ROAD, SUITE 10, ACTON, MA 01720 (Tel: 9782661576)

👤
Provider Name / Credentials Updated November 08, 2012

Recorded as SANDRA PECK, EDM RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2012

Dietitian, Registered (License #60 in MA)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720181118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: November 08, 2012
Sole Proprietor: Yes

Mailing Address

481 Great Road, Suite 10

Acton, MA 01720

Phone: 9782661576

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.