Stephen Kheboian, MS, RD/LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

119 Belmont St
Worcester, MA 01605-2903

Phone

(508) 769-1363

NPI assigned

Apr 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1366184723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FRANCONIA ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-769-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEBOIAN",
        "first_name": "STEPHEN",
        "credential": "MS, RD/LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharouk Khanjar, MD
• Mithu Pooja Khanna, PHARM.D.
• Shrinkhala Khanna, M.D.
• Sirena Khanna
• Sabina Khatiwada, MD
• Rewana Essam Khedr, MD
• Salwa Mohamed Khedr, M.D.
• Ajay Kher, MD
• Ashna Khera, DMD
• Rita Khodosh, M.D./PH.D.

• Registered Dietitian in Worcester, MA
• Providers in Worcester, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.