Organization Active NPI

Colleen Duddy LLC

  • Health Service Clinic/Center
  • East Boston, MA
National Provider Identifier
1336930460
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COLLEEN DUDDY LLC
Practice address
123 Webster St Apt 1
East Boston, MA 02128-2968
Phone
(978) 760-4144
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Colleen Duddy, RDNNPI 1457174252
Title
Owner
Phone
(978) 760-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

123 Webster St Apt 1
East Boston, MA 02128-2968

Mailing address

123 Webster St Apt 1
East Boston, MA 02128-2968
Phone (978) 760-4144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1336930460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WEBSTER ST APT 1",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282968",
            "telephone_number": "978-760-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEBSTER ST APT 1",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282968",
            "telephone_number": "978-760-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN DUDDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "DUDDY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-760-4144",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.