Active NPI
Maria E Walazek, RD, LDN
- Registered Dietitian
- Concord, MA
National Provider Identifier
1023220480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1452
- Practice address
- 801 Main St Ste 7
Concord, MA 01742-3319 - Phone
- (617) 755-2472
- NPI assigned
- May 5, 2007
- Last updated
- Sep 27, 2022
- 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 | 1452 | MA | Primary |
Addresses
Primary practice location
801 Main St Ste 7
Concord, MA 01742-3319
Mailing address
801 Main St Ste 7
Concord, MA 01742-3319
Phone (617) 755-2471
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Other practice location 2
1400 Lowell Rd
Concord, MA 01742-5255
Phone (978) 369-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Sports Medicine Foundation Inc. | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1740216811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1023220480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MAIN ST STE 7",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423319",
"telephone_number": "617-755-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MAIN ST STE 7",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423319",
"telephone_number": "617-755-2472"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Lowell Rd",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017425255",
"country_code": "US",
"telephone_number": "978-369-2550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALAZEK",
"first_name": "MARIA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.