Active NPI
Jamie Garry, MS, RD, LDN, CBDT
- Registered Dietitian
- Boston, MA
National Provider Identifier
1104556794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3210
- Practice address
- 55 Fruit St RM 1308
Boston, MA 02114-2696 - Phone
- (617) 726-2540
- NPI assigned
- Jun 15, 2022
- 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 | 3210 | MA | Primary |
Addresses
Primary practice location
55 Fruit St RM 1308
Boston, MA 02114-2696
Mailing address
55 Fruit St RM 1308
Boston, MA 02114-2696
Phone (617) 726-2540
Other names 1
- Jamie Doherty
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://patientgateway.massgeneralbrigham.org/ | Health Information Exchange (HIE) | Massachusetts General Hospital |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3210 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1104556794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST RM 1308",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST RM 1308",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "JAMIE",
"credential": "MS, RD, LDN, CBDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3210",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://patientgateway.massgeneralbrigham.org/",
"affiliation": "Y",
"endpointDescription": "Epic electronic medical record and patient gateway",
"affiliationName": "Massachusetts General Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "electronic medical records and secure communication",
"address_1": "55 Fruit St Rm 1308",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021142696",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "DOHERTY",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.