Individual provider Active NPI

Tracy A Yemma, MS, RD, LDN, CPT

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1407175458
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
979 Issued in MA
Practice address
8 Austin St
Boston, MA 02129-3501
Phone
(617) 308-8254
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 979 MA
Registered Dietitian 133V00000X 979 MA Primary

Addresses

Primary practice location

8 Austin St
Boston, MA 02129-3501

Mailing address

8 Austin St # 2
Boston, MA 02129-3501
Phone (617) 308-8254

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The T Life Nutrition, Education CurrentSince Apr 14, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Energy Center Nutrition and Weight Loss, LLC Dietitian, Registered PastSince Jun 1, 2011 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 4

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1407175458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AUSTIN ST # 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293501",
            "telephone_number": "617-308-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 AUSTIN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293501",
            "telephone_number": "617-308-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMMA",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "979",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "979",
            "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 Apr 9, 2024; 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.