Body Sculpt and Nutrition Consulting, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BODY SCULPT AND NUTRITION CONSULTING, LLC

Practice address

500 N Main Street
Unit D, Suite #202
Randolph, MA 02368-2020

Phone

(781) 728-5783

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Norah Alila Otieno-WasongaNPI 1619623980

Title

RDN

Phone

(508) 371-7297

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norah Alila Otieno-Wasonga, MS, RDN,LDN

  • Registered Dietitian
  • Randolph, MA
  • NPI 1619623980

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1336865716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN STREET",
            "address_2": "UNIT D, SUITE #202",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN STREET",
            "address_2": "UNIT D, SUITE #202",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682020",
            "telephone_number": "781-728-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SCULPT AND NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "OTIENO-WASONGA",
        "authorized_official_first_name": "NORAH",
        "authorized_official_middle_name": "ALILA",
        "authorized_official_title_or_position": "RDN",
        "authorized_official_telephone_number": "508-371-7297"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5534",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bodysculptandnitrition.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 N Main Street",
            "address_2": "Unit D, Suite #202",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023682020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Randolph, MA
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.