Active NPI
Courtney L Faiola, RD, LDN
- Registered Dietitian
- Fall River, MA
National Provider Identifier
1043871064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3763
- Practice address
- 795 Middle St
Fall River, MA 02721-1733 - Phone
- (508) 235-5276
- NPI assigned
- Jun 21, 2019
- 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 | 3763 | MA | Primary |
Addresses
Primary practice location
795 Middle St
Fall River, MA 02721-1733
Mailing address
795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3763 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1043871064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 MIDDLE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211733",
"telephone_number": "508-674-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 MIDDLE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211733",
"telephone_number": "508-235-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIOLA",
"first_name": "COURTNEY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.