Active NPI
Marie Elaine Anderson, RD LDN
- Registered Dietitian
- S Weymouth, MA
National Provider Identifier
1255419578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1828
- Practice address
- 1221 Main St
Suite 203
S Weymouth, MA 02190 - Phone
- (781) 335-7559
- Fax
- (781) 331-6410
- NPI assigned
- Nov 2, 2006
- Last updated
- Feb 19, 2008
- 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 | 1828 | MA | Primary |
Addresses
Primary practice location
1221 Main St
Suite 203
S Weymouth, MA 02190
Mailing address
1221 Main St
Suite 203
S Weymouth, MA 02190
Phone (781) 335-7559
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469872 | Other | MA | TUFTS HEALTH PLAN |
| LD0150 | Other | MA | BCBS |
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 |
|---|---|---|---|
| Doctors Foot Care Group | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot Surgery Podiatrist
- Quincy, MA
- NPI 1447462601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1255419578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MAIN ST",
"address_2": "SUITE 203",
"city": "S WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-335-7559",
"fax_number": "781-331-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MAIN ST",
"address_2": "SUITE 203",
"city": "S WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-335-7559",
"fax_number": "781-331-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MARIE",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "469872",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "LD0150",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in S Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.