Active NPI
Nancy Maddox, R.D.
- Registered Dietitian
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 630
- Practice address
- 75 Riverside Ave
Medford, MA 02155-4600 - Phone
- (781) 396-6221
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 630 | MA | Primary |
Addresses
Primary practice location
75 Riverside Ave
Medford, MA 02155-4600
Mailing address
960 Massachusetts Ave
Boston, MA 02118-2620
Phone (617) 414-4505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
11 Nevins St
Ste 407
Brighton, MA 02135
Phone (617) 562-7474
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
70 East St
Methuen, MA 01844
Phone (978) 682-1906
Interoperability endpoints
- nancy.maddox.1@2017.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1073733804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182620",
"telephone_number": "617-414-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 RIVERSIDE AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554600",
"telephone_number": "781-396-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "NANCY",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.