Active NPI
Suzanne Elizabeth Landry, MS, RD, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1285856294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2076
- Practice address
- 165 Cambridge Street, Charles River Plaza, Suite 402
MGH Nutrition Services
Boston, MA 02114 - Phone
- (617) 726-1675
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2076 | MA | Primary |
Addresses
Primary practice location
165 Cambridge Street, Charles River Plaza, Suite 402
MGH Nutrition Services
Boston, MA 02114
Mailing address
165 Cambridge Street, Charles River Plaza, Suite 402
MGH Nutrition Services
Boston, MA 02114
Phone (617) 726-1675
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2076 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285856294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CAMBRIDGE STREET, CHARLES RIVER PLAZA, SUITE 402",
"address_2": "MGH NUTRITION SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CAMBRIDGE STREET, CHARLES RIVER PLAZA, SUITE 402",
"address_2": "MGH NUTRITION SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-1675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2076",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.