Individual provider Active NPI

Marci Evans, MS, RD

  • Registered Dietitian
  • Cambridge, MA
National Provider Identifier
1114159191
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
932558 Issued in MA
Practice address
22 Hilliard St
Cambridge, MA 02138-4972
Phone
(480) 889-4943
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 932558 MA Primary

Addresses

Primary practice location

22 Hilliard St
Cambridge, MA 02138-4972

Mailing address

22 Hilliard St
Cambridge, MA 02138-4972
Phone (617) 834-7336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2021 through Jan 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
932558MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Marci Rd Nutrition Consulting Dietitian, Registered Current Accepting new patients

Locations

22 Hilliard St
Cambridge, MA 02138
Phone (617) 354-7209

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1114159191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384972",
            "telephone_number": "617-834-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384972",
            "telephone_number": "480-889-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARCI",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "932558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.