Active NPI
Nicole Lynne Tierney, RD
- Registered Dietitian
- Braintree, MA
National Provider Identifier
1194059865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2917
- Practice address
- 46 BV French St
Braintree, MA 02184-4850 - Phone
- (508) 944-2485
- NPI assigned
- Sep 28, 2009
- 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 | 2917 | MA | Primary |
Addresses
Primary practice location
46 BV French St
Braintree, MA 02184-4850
Mailing address
46 BV French St
Braintree, MA 02184-4850
Phone (508) 944-2485
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nikki@justadddogsco.com |
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 |
|---|---|---|---|
| 2917 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1194059865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BV FRENCH ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844850",
"telephone_number": "508-944-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BV FRENCH ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844850",
"telephone_number": "508-944-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "NICOLE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nikki@justadddogsco.com",
"affiliation": "N",
"address_1": "46 Bv French St",
"city": "Braintree",
"state": "MA",
"country_code": "US",
"postal_code": "021844850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.