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

MS. Tina Boucher Reilly, RD, LDN

Individual provider Registered Dietitian · NPI 1407515653

MS. Tina Boucher Reilly, RD, LDN is a Registered Dietitian in Roslindale, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1200 Centre St
Roslindale, MA 02131-1011
Phone: (617) 363-8241
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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 621 (MA)
Registered Dietitian Taxonomy 133V00000X · Licence 710263

Record details

NPI number1407515653
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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