Michelle Boutet, RDN, CSSD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86034676 Issued in MA

Practice address

50 Staniford St FL 10
Boston, MA 02114-2517

Phone

(617) 643-5903

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fuel2Live Nutrition, LLC

  • Preferred Provider Organization
  • Dorchester, MA
  • NPI 1104560374
  NPD
• Coord Health Inc.

  • Registered Dietitian
  • Quincy, MA
  • NPI 1154124964

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1003396417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST FL 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST FL 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-643-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTET",
        "first_name": "MICHELLE",
        "credential": "RDN, CSSD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86034676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Bousquet, MD
• Vassiliki A Boussiotis, MD PHD
• Ashley Boustany, MD
• Fred G. Boustany, DMD
• Athos Bousvaros, MD, MPH
• Tara C. Bouton, M.D.
• Rimoun Ramsis Anis Boutrus
• Kristan Marie Boutwell, RN, CPNP
• Clarice Bouvier, OD, MS
• Bova Family Chiropractic LLC

• Registered Dietitian in Boston, MA
• Providers in Boston, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.