Active NPI
Sally M Cohen, MS, RD, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1205200425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4013
- Practice address
- 732 Harrison Ave
Preston Family Building, 2ND Floor
Boston, MA 02118-2309 - Phone
- (617) 414-8118
- NPI assigned
- Nov 27, 2015
- 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 | 4013 | MA | Primary |
Addresses
Primary practice location
732 Harrison Ave
Preston Family Building, 2ND Floor
Boston, MA 02118-2309
Mailing address
732 Harrison Ave
Preston Family Building, 2ND Floor
Boston, MA 02118-2309
Phone (617) 414-8118
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4013 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMC Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448582400000",
"number": "1205200425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 HARRISON AVE",
"address_2": "PRESTON FAMILY BUILDING, 2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182309",
"telephone_number": "617-414-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 HARRISON AVE",
"address_2": "PRESTON FAMILY BUILDING, 2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182309",
"telephone_number": "617-414-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "SALLY",
"middle_name": "M",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-27",
"last_updated": "2015-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.