Active NPI
Julie Teal, RD, LDN
- Registered Dietitian
- Acton, MA
National Provider Identifier
1346716156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00003873
- Practice address
- 20 Main St
Acton, MA 01720-3575 - Phone
- (978) 631-0322
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00003873 | MA | Primary |
Addresses
Primary practice location
20 Main St
Acton, MA 01720-3575
Mailing address
PO Box 618
Westborough, MA 01581-0618
Phone (978) 631-0322
Other names 1
- Julie Digeronimo
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00003873 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BML Nutrition Consulting, LLC | Dietitian, Registered | Past | Accepting new patients |
| A & a Medical Supply, Corp | 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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Acton, MA
- NPI 1912074022
-
- Registered Dietitian
- Chichester, NH
- NPI 1982977203
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1346716156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 618",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810618",
"telephone_number": "978-631-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAIN ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017203575",
"telephone_number": "978-631-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAL",
"first_name": "JULIE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "00003873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "DIGERONIMO",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.