Active NPI
Enriched Mind and Body, LLC
- Registered Dietitian
- Boston, MA
National Provider Identifier
1083408769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ENRICHED MIND AND BODY, LLC
- Practice address
- 867 Boylston St Ste 1677
Boston, MA 02116-2774 - Phone
- (781) 588-6522
- NPI assigned
- Apr 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enjely Mora, RD, LDN
- Title
- Dietitian
- Phone
- (781) 588-6522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
867 Boylston St Ste 1677
Boston, MA 02116-2774
Mailing address
867 Boylston St Ste 1677
Boston, MA 02116-2774
Phone (781) 588-6522
National Provider Directory
National Provider DirectoryLocations
867 Boylston St
Ste 1677
Boston, MA 02116
Phone (781) 588-6522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1083408769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 BOYLSTON ST STE 1677",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162774",
"telephone_number": "781-588-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 BOYLSTON ST STE 1677",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162774",
"telephone_number": "781-588-6522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENRICHED MIND AND BODY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "MORA",
"authorized_official_first_name": "ENJELY",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "781-588-6522",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.