Active NPI
Damien Thane
- Registered Dietitian
- Cambridge, MA
National Provider Identifier
1275330888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 16 Market St
Cambridge, MA 02139-1523 - Phone
- (978) 407-1744
- NPI assigned
- Mar 1, 2025
- Last updated
- Mar 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
16 Market St
Cambridge, MA 02139-1523
Mailing address
16 Market St
Cambridge, MA 02139-1523
Phone (978) 407-1744
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740787200000",
"number": "1275330888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MARKET ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391523",
"telephone_number": "978-407-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MARKET ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391523",
"telephone_number": "978-407-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THANE",
"first_name": "DAMIEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-01",
"last_updated": "2025-03-01",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.