NPIMap

Organization Active NPI

Boston Nutrition Consulting, LLC

  • Registered Dietitian
  • Cambridge, MA
National Provider Identifier
1144608985
Registry record updated May 13, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3413 Issued in MA
Legal business name
BOSTON NUTRITION CONSULTING, LLC
Practice address
15 Story St
#1
Cambridge, MA 02138-4950
Phone
(617) 583-0428
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Aaron Manders, MS, RD, LDN
Title
Owner
Phone
(617) 583-0428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 3413 MA Primary

Addresses

Primary practice location

15 Story St
#1
Cambridge, MA 02138-4950

Mailing address

125 Mount Auburn St
PO Box 380732
Cambridge, MA 02138-5765
Phone (617) 583-0428

National Provider Directory

National Provider Directory

Locations

15 Story St
Ste 1
Cambridge, MA 02138
Phone (617) 583-0428

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1144608985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MOUNT AUBURN ST",
            "address_2": "PO BOX 380732",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385765",
            "telephone_number": "617-583-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STORY ST",
            "address_2": "#1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384950",
            "telephone_number": "617-583-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MANDERS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-583-0428",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.