Active NPI
Anna Mooradian, R.D., L.D.N,
- Registered Dietitian
- Wareham, MA
National Provider Identifier
1174923247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000003605
- Practice address
- 43 High St
Wareham, MA 02571-2097 - Phone
- (508) 295-0880
- Fax
- (508) 273-4346
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- 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 | 000003605 | MA | Primary |
Addresses
Primary practice location
43 High St
Wareham, MA 02571-2097
Mailing address
14 Brewster St
Apt #2
Plymouth, MA 02360-3802
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003605 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1174923247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BREWSTER ST",
"address_2": "APT #2",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023603802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 HIGH ST",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025712097",
"telephone_number": "508-295-0880",
"fax_number": "508-273-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORADIAN",
"first_name": "ANNA",
"name_prefix": "Ms.",
"credential": "R.D., L.D.N,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.