Active NPI
Carol A Haladyna, RD
- Registered Dietitian
- Dedham, MA
National Provider Identifier
1235136797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 139
- Practice address
- 1 Lyons St
Dedham, MA 02026-5599 - Phone
- (781) 329-1400
- Fax
- (781) 278-5667
- NPI assigned
- Jun 30, 2005
- Last updated
- May 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 139 | MA | Primary |
| Registered Dietitian | 133V00000X | 497 | RI |
Addresses
Primary practice location
1 Lyons St
Dedham, MA 02026-5599
Mailing address
PO Box 9120
Dedham, MA 02027-9120
Phone (781) 329-1400
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD0020 | Other | BSBLUE CARE ELECT | |
| 634102 | Other | TUFTS SECURE HORIZON | |
| LD0020 | Other | BS-BLUE CARE 65 | |
| 634102 | Other | TUFTS BENEFITS ADMINISTRA | |
| 634102 | Other | TUFTS TOTAL HEALTH PLAN | |
| LD0020 | Other | BS-INDEMNITY | |
| 634102 | Other | TUFTS | |
| 634102 | Other | TUFTS COMMONWEALTH PPO | |
| LD0020 | Other | HMO BLUE/BLUE CHOICE |
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 |
|---|---|---|---|
| 497 | RI | MD | Optometrist |
| 139 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1235136797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9120",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020279120",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LYONS ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020265599",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALADYNA",
"first_name": "CAROL",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "139",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "497",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBLUE CARE ELECT",
"identifier": "LD0020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS SECURE HORIZON",
"identifier": "634102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-BLUE CARE 65",
"identifier": "LD0020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS BENEFITS ADMINISTRA",
"identifier": "634102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS TOTAL HEALTH PLAN",
"identifier": "634102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-INDEMNITY",
"identifier": "LD0020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "634102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMONWEALTH PPO",
"identifier": "634102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE/BLUE CHOICE",
"identifier": "LD0020",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.