Individual provider Active NPI

Janyce M Gately, RD, LDN

  • Registered Dietitian
  • Waltham, MA
National Provider Identifier
1386946960
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
352 Issued in MA
Practice address
425 Waverley Oaks Rd Ste 200
Waltham, MA 02452
Phone
(781) 786-6079
Fax
(781) 894-7014
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 352 MA Primary

Addresses

Primary practice location

425 Waverley Oaks Rd Ste 200
Waltham, MA 02452

Mailing address

425 Waverley Oaks Rd Ste 200
Waltham, MA 02452
Phone (781) 786-6079

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waverley Oaks Athletic Club Dietitian, Registered CurrentSince Feb 23, 2020 Accepting new patients

Locations

425 Waverley Oaks Rd
Ste 200
Waltham, MA 02452
Phone (781) 786-6079

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1386946960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-786-6079",
            "fax_number": "781-894-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-786-6079",
            "fax_number": "781-894-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATELY",
        "first_name": "JANYCE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.