Organization Active NPI

Nourish by Aly, LLC

  • Registered Dietitian
  • Marlborough, MA
National Provider Identifier
1235841560
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISH BY ALY, LLC
Practice address
145 Ames St Unit 2113
Marlborough, MA 01752-4780
Phone
(978) 895-6456
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alyson Comeau, RDN, LDN
Title
Owner/Dietitian
Phone
(978) 895-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

145 Ames St Unit 2113
Marlborough, MA 01752-4780

Mailing address

145 Ames St Unit 2113
Marlborough, MA 01752-4780
Phone (978) 895-6456

Other identifiers 1

IdentifierTypeStateIssuer
1245830272MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.nourishbyaly.com/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1235841560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 AMES ST UNIT 2113",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524780",
            "telephone_number": "978-895-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 AMES ST UNIT 2113",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524780",
            "telephone_number": "978-895-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH BY ALY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "COMEAU",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "978-895-6456",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245830272",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nourishbyaly.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "145 Ames St Unit 2113",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017524780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.