Individual provider Active NPI

Andrea C Denney-Reyes, RD

  • Registered Dietitian
  • Feeding Hills, MA
National Provider Identifier
1346344942
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2387 Issued in MA
Practice address
14 S Westfield St
Feeding Hills, MA 01030-2702
Phone
(413) 786-2957
Fax
(413) 786-2956
NPI assigned
Sep 12, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2387 MA Primary

Addresses

Primary practice location

14 S Westfield St
Feeding Hills, MA 01030-2702

Mailing address

PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000

Other identifiers 1

IdentifierTypeStateIssuer
LD0187OtherMABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000339 MA Practitioner - Registered Dietitian Or Nutrition Professional 2769405091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Pyramid Nutrition Services, IncGroup PAC ID 7719243211, 5 clinicians

Practice addresses (Care Compare)

77 Mill St
Suite 233
Westfield, MA 01085-4598
Phone (413) 786-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2387MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allara Medical Group PA Past Accepting new patients

Organizations & group practices 2

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1346344942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560789",
            "telephone_number": "413-509-1000",
            "fax_number": "413-509-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S WESTFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302702",
            "telephone_number": "413-786-2957",
            "fax_number": "413-786-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEY-REYES",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "LD0187",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feeding Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.