Active NPI
Sue-Ellen Nichole Anderson-Haynes, MS, RDN, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1326329590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3141
- Practice address
- 1 Joslin PL
Boston, MA 02215-5306 - Phone
- (617) 309-4414
- NPI assigned
- Sep 1, 2011
- Last updated
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 3141 | MA | Primary |
Addresses
Primary practice location
1 Joslin PL
Boston, MA 02215-5306
Mailing address
1 Joslin PL
Boston, MA 02215-5306
Phone (617) 309-4414
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Girls&Women | Dietitian, Registered | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1326329590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155306",
"telephone_number": "617-309-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155306",
"telephone_number": "617-309-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON-HAYNES",
"first_name": "SUE-ELLEN",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3141",
"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 Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.