Active NPI
Kathryn Ann Alsup, RD, LDN
- Registered Dietitian
- Waltham, MA
National Provider Identifier
1194775825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2334
- Practice address
- 32 South St
Suite 300
Waltham, MA 02453-3594 - Phone
- (781) 642-1250
- Fax
- (781) 207-6415
- NPI assigned
- May 11, 2006
- Last updated
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 2334 | MA | Primary |
Addresses
Primary practice location
32 South St
Suite 300
Waltham, MA 02453-3594
Mailing address
566 Main St
West Newbury, MA 01985-1112
Phone (978) 257-5756
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drum Hill Primary Care LLC | Past | Accepting new patients | |
| Ellen M Byron | Dietitian, Registered | Past | Accepting new patients |
| Advanced Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Chelmsford, MA
- NPI 1144497256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1194775825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 MAIN ST",
"city": "WEST NEWBURY",
"state": "MA",
"postal_code": "019851112",
"telephone_number": "978-257-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SOUTH ST",
"address_2": "SUITE 300",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533594",
"telephone_number": "781-642-1250",
"fax_number": "781-207-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSUP",
"first_name": "KATHRYN",
"middle_name": "ANN",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.