Organization Active NPI

Camp Thoreau Inc

  • Registered Dietitian
  • Concord, MA
National Provider Identifier
1023415460
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CAMP THOREAU INC
Practice address
275 Forest Ridge Rd
Concord, MA 01742-3830
Phone
(978) 831-1200
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Faith Pulis
Title
Ceo and President
Phone
(978) 831-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

275 Forest Ridge Rd
Concord, MA 01742-3830

Mailing address

275 Forest Ridge Rd
Concord, MA 01742-3830
Phone (978) 831-1200

Other names 1

  • The Thoreau Club Other name

National Provider Directory

National Provider Directory

Locations

275 Forest Ridge Rd
Concord, MA 01742
Phone (978) 254-5313

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1023415460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 FOREST RIDGE RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423830",
            "telephone_number": "978-831-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 FOREST RIDGE RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423830",
            "telephone_number": "978-831-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP THOREAU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PULIS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "978-831-1230"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Thoreau Club",
            "code": "5",
            "type": "Other 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 Dec 1, 2014; 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.