Individual provider Active NPI

Gianna Roma, RD

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1285152579
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4197 Issued in MA
Practice address
330 Brookline Avenue
Boston, MA 02115
Phone
(617) 667-2565
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4197 MA Primary

Addresses

Primary practice location

330 Brookline Avenue
Boston, MA 02115

Mailing address

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-2565

Other practice location 1

179 Quincy St
Brockton, MA 02302-2966
Phone (508) 941-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101002478 MA Practitioner - Registered Dietitian Or Nutrition Professional 2264708551 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4197MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Energi Nutrition LLC CurrentSince Jun 6, 2023 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

179 Quincy St
Ste 3
Brockton, MA 02302
Phone (508) 565-3252

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700

28 Church St
Ste 14
Winchester, MA 01890
Phone (508) 561-3410

Interoperability endpoints

  • Direct secure messaging: gianna.roma@direct.signature.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1285152579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-667-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Quincy St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022966",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMA",
        "first_name": "GIANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.