Active NPI
Colleen Donahue, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 5466-NU-NU
- Practice address
- 1153 Centre St
Boston, MA 02130-3446 - Phone
- (617) 983-7000
- NPI assigned
- Feb 13, 2022
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 5466-NU-NU | MA | Primary |
Addresses
Primary practice location
1153 Centre St
Boston, MA 02130-3446
Mailing address
43 Chesett LN
Attleboro, MA 02703-1565
Phone (508) 688-2064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Veterans Memorial Pkwy
Suite 8C
East Providence, RI 02914-5300
Phone (401) 396-9331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN01156 | RI | MD | Registered Dietitian |
| 5466-NU-NU | MA | MD | Obesity and Weight Management Nutrition Registered Dietitian |
| 5466 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Evolution Nutrition Inc. | Current | Accepting new patients |
Locations
221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918
75 Francis St
Boston, MA 02115
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412
450 Veterans Memorial Pkwy
Ste C
East Providence, RI 02914
450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914
Phone (401) 396-9331
450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080
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.
-
- Registered Dietitian
- East Providence, RI
- NPI 1336265800
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644710400000",
"number": "1366197931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CHESETT LN",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027031565",
"telephone_number": "508-688-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "COLLEEN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2022-02-13",
"certification_date": "2022-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "MA",
"license": "5466-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; 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.