Active NPI
Susan Massad, HSD, RD, CHES
- Registered Dietitian
- Wayland, MA
National Provider Identifier
1225458995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 380
- Practice address
- 524 Boston Post Rd.
The Longfellow Club
Wayland, MA 01778 - Phone
- (508) 358-6022
- Fax
- (508) 358-5976
- NPI assigned
- Apr 22, 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 | 380 | MA | Primary |
Addresses
Primary practice location
524 Boston Post Rd.
The Longfellow Club
Wayland, MA 01778
Mailing address
524 Boston Post Rd
The Longfellow Club
Wayland, MA 01778-1833
Phone (508) 358-6022
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 |
|---|---|---|---|
| 380 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402185600000",
"number": "1225458995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD",
"address_2": "THE LONGFELLOW CLUB",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017781833",
"telephone_number": "508-358-6022",
"fax_number": "508-358-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD.",
"address_2": "THE LONGFELLOW CLUB",
"city": "WAYLAND",
"state": "MA",
"postal_code": "01778",
"telephone_number": "508-358-6022",
"fax_number": "508-358-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSAD",
"first_name": "SUSAN",
"credential": "HSD, RD, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.