Active NPI
Poonhar Louisa Poon, MS, RD
- Renal Nutrition Registered Dietitian
- Boston, MA
National Provider Identifier
1336342633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 2087
- Practice address
- 35 Kneeland St Ste 5
Boston, MA 02111-1523 - Phone
- (617) 636-9941
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 2087 | MA | Primary |
Addresses
Primary practice location
35 Kneeland St Ste 5
Boston, MA 02111-1523
Mailing address
29 Harvard Ave Unit 24
Medford, MA 02155-3573
Phone (781) 475-8687
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2087 | MA | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336342633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 HARVARD AVE UNIT 24",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553573",
"telephone_number": "781-475-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 KNEELAND ST STE 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111523",
"telephone_number": "617-636-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "POONHAR",
"middle_name": "LOUISA",
"name_prefix": "Miss",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MA",
"license": "2087",
"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.