Julienne Florival Desravines, RDN LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2304 Issued in MA

Practice address

113 Williams Rd
Ashburnham, MA 01430

Phone

(857) 246-0911

NPI assigned

Jun 21, 2016

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Julienne Florival Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1033569934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WILLIAMS RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301664",
            "telephone_number": "857-246-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WILLIAMS RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "01430",
            "telephone_number": "857-246-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESRAVINES",
        "first_name": "JULIENNE",
        "middle_name": "FLORIVAL",
        "credential": "RDN LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "2304",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIENNE",
            "last_name": "FLORIVAL",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.