Energy Center Nutrition and Weight Loss, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ENERGY CENTER NUTRITION AND WEIGHT LOSS, LLC

Practice address

95 Washington St
Suite 420
Canton, MA 02021-4006

Phone

(617) 276-7049

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Yemma, MS, RD, LDN, CPTNPI 1407175458

Title

President/Ceo

Phone

(617) 276-7049

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy A Yemma, MS, RD, LDN, CPT

  • Registered Dietitian
  • Boston, MA
  • NPI 1407175458

  Dietitian, Registered

  NPD (past) Authorized official
• Melissa Renee Capps, R.D., L.D.N.

  • Registered Dietitian
  • Canton, MA
  • NPI 1598009201

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1154628626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 420",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "617-276-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 420",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "617-276-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY CENTER NUTRITION AND WEIGHT LOSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "YEMMA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-276-7049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN, CPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Lynne Derosier Erikson, M.E.D.
• Sarah Ervin, MS,OTR/L
• Edward Evans, P.T.

• Registered Dietitian in Canton, MA
• Providers in Canton, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.