Mara Rose Sansevero, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2140 Issued in MA

Practice address

301 S Huntington Ave
Brigham & Women'S Advanced Primary Care Associates, SH
Jamaica Plain, MA 02130-4807

Phone

(857) 307-3364

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662
  Medicare reassignment NPD
• Affinity Physicians LLC

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053038471
  NPD
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1295951143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S HUNTINGTON AVE",
            "address_2": "BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304807",
            "telephone_number": "857-307-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S HUNTINGTON AVE",
            "address_2": "BRIGHAM & WOMEN'S ADVANCED PRIMARY CARE ASSOCIATES, SH",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304807",
            "telephone_number": "857-307-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSEVERO",
        "first_name": "MARA",
        "middle_name": "ROSE",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keren Siloni Sanchez
• Mirah Sand, OTR/L
• Michael Sanders
• Carly Sanderson, PHARMD
• Emily Sandon
• Yulia Santa, PA
• Cecilia Santana
• Diana Iris Santana, RN
• Talia Desiree Santana
• Nidia Santiago

• Registered Dietitian in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.