Active NPI
Catherine A. O'Brien, R.D.
- Registered Dietitian
- South Weymouth, MA
National Provider Identifier
1083683536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1207
- Practice address
- 541 Main St
Suite 400
South Weymouth, MA 02190-1868 - Phone
- (781) 331-7799
- Fax
- (781) 331-9515
- NPI assigned
- Mar 16, 2006
- 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 | 1207 | MA | Primary |
Addresses
Primary practice location
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Mailing address
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Phone (781) 331-7799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD0122 | Other | MA | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 1207 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1083683536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 MAIN ST",
"address_2": "SUITE 400",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901868",
"telephone_number": "781-331-7799",
"fax_number": "781-331-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 MAIN ST",
"address_2": "SUITE 400",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901868",
"telephone_number": "781-331-7799",
"fax_number": "781-331-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "CATHERINE",
"middle_name": "A.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LD0122",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.