Active NPI
Ryan N Farley, RD
- Registered Dietitian
- Merrimac, MA
National Provider Identifier
1174467633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86343030
- Practice address
- 12 Burnside LN
Merrimac, MA 01860-2105 - Phone
- (978) 594-7271
- NPI assigned
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86343030 | MA | Primary |
Addresses
Primary practice location
12 Burnside LN
Merrimac, MA 01860-2105
Mailing address
12 Burnside LN
Merrimac, MA 01860-2105
Phone (978) 594-7271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86343030 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1174467633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BURNSIDE LN",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602105",
"telephone_number": "978-594-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BURNSIDE LN",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602105",
"telephone_number": "978-594-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "RYAN",
"middle_name": "N",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86343030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrimac, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.