Individual provider Active NPI

Amanda Lavasseur, MS, RD, LDN

  • Registered Dietitian
  • Norwood, MA
National Provider Identifier
1154727634
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3681 Issued in MA
Practice address
38 Vanderbilt Ave
Norwood, MA 02062-5006
Phone
(781) 269-5400
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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 3681 MA Primary

Addresses

Primary practice location

38 Vanderbilt Ave
Norwood, MA 02062-5006

Mailing address

38 Vanderbilt Ave
Norwood, MA 02062-5006
Phone (781) 269-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204000200 MA Practitioner - Registered Dietitian Or Nutrition Professional 1456676956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

20 Patriot PL
Foxborough, MA 02035-1375
Phone (508) 718-4000

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 534-7700

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3681MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon LLC CurrentSince Dec 15, 2014 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Dec 14, 2022 Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

113 Washington St
Ste 1
Foxboro, MA 02035
Phone (774) 215-5579

113 Washington St
Foxborough, MA 02035
Phone (508) 543-1553

38 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 269-5400

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Organizations & group practices 4

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1154727634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-269-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-269-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVASSEUR",
        "first_name": "AMANDA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.