NPIMap

Organization Active NPI

Pat Vasconcellos

  • Metabolic Nutrition Registered Dietitian
  • Mashpee, MA
National Provider Identifier
1124140215
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
1741 Issued in MA
Legal business name
PAT VASCONCELLOS
Practice address
133 Falmouth Rd Ste F
Mashpee, MA 02649-2611
Phone
(508) 246-1724
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Anna Vasconcellos, RD, CDE
Title
Registered Dietitian, Diabetes Educ
Phone
(508) 246-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 1741 MA Primary

Addresses

Primary practice location

133 Falmouth Rd Ste F
Mashpee, MA 02649-2611

Mailing address

7 Walkerwoods Dr
Harwich, MA 02645-2060
Phone (508) 246-1724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124140215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WALKERWOODS DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452060",
            "telephone_number": "508-246-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FALMOUTH RD STE F",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492611",
            "telephone_number": "508-246-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT VASCONCELLOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASCONCELLOS",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, DIABETES EDUC",
        "authorized_official_telephone_number": "508-246-1724",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MA",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.