Active NPI
Shared Nutrition, LLC
- Registered Dietitian
- Brighton, MA
National Provider Identifier
1265253066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SHARED NUTRITION, LLC
- Practice address
- 1660 Soldiers Field Road
Suite 7 1167
Brighton, MA 02135 - Phone
- (617) 763-6331
- NPI assigned
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Brodney, PHD, MS, RDN
- Title
- Owner
- Phone
- (401) 345-1809
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1660 Soldiers Field Road
Suite 7 1167
Brighton, MA 02135
Mailing address
1660 Soldiers Field Rd Ste 71167
Brighton, MA 02135-1108
Phone (617) 763-6331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1660 Soldiers Field Rd
#1167
Brighton, MA 02135
Phone (617) 763-6331
1660 Soldiers Field Rd
Ste 71167
Brighton, MA 02135
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": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1265253066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SOLDIERS FIELD RD STE 71167",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351108",
"telephone_number": "617-763-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 SOLDIERS FIELD ROAD",
"address_2": "SUITE 7 1167",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-763-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARED NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "BRODNEY",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-345-1809",
"authorized_official_credential": "PHD, MS, RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.