Tara Marie Greenwood, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN6611 Issued in MA

Practice address

10 Tower Office Park Ste 212
Woburn, MA 01801-2120

Phone

(617) 871-9640

Fax

(855) 453-0835

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tara.greenwood.1@18201.direct.athenahealth.com

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1326759358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274496",
            "telephone_number": "484-639-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TOWER OFFICE PARK STE 212",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012120",
            "telephone_number": "617-871-9640",
            "fax_number": "855-453-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN6611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lavalleewellness.com",
            "affiliation": "Y",
            "affiliationName": "Lavallee Wellness LLC",
            "address_1": "10 Tower Office Park Ste 212",
            "city": "Woburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018012120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Green, SLP
• Kristin L Green, PHARMD, RPH
• Steven M Greenberg, MD
• Joanne Greenfield, PH.D.
• Hannah Greenwood
• Gregory Bodine
• Alicia Griesmyer
• Maura Jane Griffin, PH.D., LICSW
• Julia Christine Griffiths
• Amy T. Grose, L.I.C.S.W.

• Registered Dietitian in Woburn, MA
• Providers in Woburn, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.