Sandra Marie Athanas-Moccia, RD
Individual provider Active NPI Registered Dietitian · West Roxbury, MA
NPI 1285740555 · NPPES record last updated Nov 26, 2019
Key facts
- NPI
- 1285740555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 666 (MA)
- Practice address
- 1400 VFW Pkwy
West Roxbury, MA 02132-4927 - Phone
- (857) 203-5910
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 666 | MA | Yes |
Addresses
Primary practice location
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Mailing address
43 Hastings Rd
Dedham, MA 02026-5407
Phone (781) 320-3636
Other providers in West Roxbury, MA
- Robert Jason Arcott
- Arete Health and Performance
- Suzanne C Armstrong
- William F Arndt III
- Nichole Artavia
- Christina Athineos
- Alexis Linnie Auger
- Awakening Excellence LLC
- Jennifer Nequia Aying
- Melanie May Bachteler
All providers in West Roxbury, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.