Active NPI
Barbara Southcote
- Registered Dietitian
- Concord, MA
National Provider Identifier
1013394923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3750
- Practice address
- 24 Ridge Rd
Concord, MA 01742-2618 - Phone
- (781) 249-5052
- NPI assigned
- Apr 29, 2015
- 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 | 3750 | MA | Primary |
Addresses
Primary practice location
24 Ridge Rd
Concord, MA 01742-2618
Mailing address
24 Ridge Road
Concord, MA 01742
Phone (781) 249-5052
Other names 1
- Barbara Southcote
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 |
|---|---|---|---|
| 3750 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1013394923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 RIDGE ROAD",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "781-249-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 RIDGE RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422618",
"telephone_number": "781-249-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHCOTE",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "SOUTHCOTE",
"credential": "LDN, RDN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.