Active NPI
Amira Y Pellett, PHD, RD, LDN,
- Pediatric Nutrition Registered Dietitian
- Amherst, MA
National Provider Identifier
1285075333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 740
- Practice address
- 26 South Prospect Street Suite No. 9
Valley Nutrition Counselling,
Amherst, MA 01002 - Phone
- (413) 314-3438
- NPI assigned
- Jul 17, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 740 | MA | Primary |
Addresses
Primary practice location
26 South Prospect Street Suite No. 9
Valley Nutrition Counselling,
Amherst, MA 01002
Mailing address
26 South Prospect Street Suite No. 9
Valley Nutrition Counselling
Amherst, MA 01002
Phone (413) 314-3438
Other names 1
- Miss Amira Y Srouji
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740 | MA | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Nutrition Counseling | Nutrition, Pediatric | 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 and National Provider Directory roles.
-
- Pediatric Nutrition Registered Dietitian
- Amherst, MA
- NPI 1710327010
Nutrition, Pediatric
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1285075333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SOUTH PROSPECT STREET SUITE NO. 9",
"address_2": "VALLEY NUTRITION COUNSELLING",
"city": "AMHERST",
"state": "MA",
"postal_code": "01002",
"telephone_number": "413-314-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SOUTH PROSPECT STREET SUITE NO. 9",
"address_2": "VALLEY NUTRITION COUNSELLING,",
"city": "AMHERST",
"state": "MA",
"postal_code": "01002",
"telephone_number": "413-314-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETT",
"first_name": "AMIRA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "PHD, RD, LDN,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MA",
"license": "740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMIRA",
"last_name": "SROUJI",
"middle_name": "Y",
"prefix": "MISS",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.