Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Niebauer

Individual provider Registered Dietitian · NPI 1942508346

Courtney Niebauer is a Registered Dietitian in Mattapan, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
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Practice location Address checks out

1135 Morton St
Mattapan, MA 02126-2834
Phone: (617) 533-2300
Fax: (617) 533-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2502 (MA)

Record details

NPI number1942508346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2011
Last updated in NPPESMarch 9, 2011