Active NPI
Keiko Ueda, MPH, RD, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1003010521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 547
- Practice address
- 750 Washington St
Tnemc Box#434
Boston, MA 02111-1526 - Phone
- (617) 636-5458
- Fax
- (617) 636-0745
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 547 | MA | Primary |
Addresses
Primary practice location
750 Washington St
Tnemc Box#434
Boston, MA 02111-1526
Mailing address
279 Wilson Ave
Quincy, MA 02170-1021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547 | Other | MA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 547 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003010521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 WILSON AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WASHINGTON ST",
"address_2": "TNEMC BOX#434",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111526",
"telephone_number": "617-636-5458",
"fax_number": "617-636-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEDA",
"first_name": "KEIKO",
"credential": "MPH, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "547",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.