Individual provider Active NPI

Gail Williams, LDN

  • Registered Dietitian
  • East Bridgewater, MA
National Provider Identifier
1134147614
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
766 Issued in MA
Practice address
1 Compass Way
Suite 208
East Bridgewater, MA 02333-1465
Phone
(508) 350-2222
Fax
(508) 350-2316
NPI assigned
Jul 17, 2006
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 766 MA Primary

Addresses

Primary practice location

1 Compass Way
Suite 208
East Bridgewater, MA 02333-1465

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2350

Other identifiers 1

IdentifierTypeStateIssuer
MX3109OtherMAMEDICARE PTAN

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

LicenseStateTypeSpecialty
766MAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1134147614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY",
            "address_2": "SUITE 208",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331465",
            "telephone_number": "508-350-2222",
            "fax_number": "508-350-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GAIL",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MX3109",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.