Individual provider Active NPI

Joanna Radziejowska, RDN, RD

  • Registered Dietitian
  • Concord, MA
National Provider Identifier
1154850493
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2453 Issued in MA
Practice address
97 Lowell Rd
Concord, MA 01742-1733
Phone
(978) 233-1440
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 2453 MA Primary

Addresses

Primary practice location

97 Lowell Rd
Concord, MA 01742-1733

Mailing address

128 Nobscot Rd
Sudbury, MA 01776-3341
Phone (617) 840-1269

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1154850493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NOBSCOT RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763341",
            "telephone_number": "617-840-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LOWELL RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421733",
            "telephone_number": "978-233-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIEJOWSKA",
        "first_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "RDN, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.