Active NPI
Alysha Gebo, RD
- Registered Dietitian
- Acushnet, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 51 Pembroke Ave
Acushnet, MA 02743-2346 - Phone
- (508) 688-4794
- Fax
- (508) 974-9849
- NPI assigned
- Jul 10, 2015
- Last updated
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | MA | Primary |
Addresses
Primary practice location
51 Pembroke Ave
Acushnet, MA 02743-2346
Mailing address
736 Cambridge St
Cambridge, MA 02141-1401
Phone (617) 789-3000
Other practice location 1
51 Pembroke Ave
Acushnet, MA 02743-2346
Phone (508) 688-4794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3839 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurtured Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Alysha Gebo | Dietitian, Registered | Current | Accepting new patients |
| Steward Medical Group Inc. | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Cardiac Rehabilitation Clinic/Center
- Brighton, MA
- NPI 1760086599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1407230386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411401",
"telephone_number": "617-789-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PEMBROKE AVE",
"city": "ACUSHNET",
"state": "MA",
"postal_code": "027432346",
"telephone_number": "508-688-4794",
"fax_number": "508-974-9849"
}
],
"practiceLocations": [
{
"address_1": "51 Pembroke Ave",
"address_purpose": "LOCATION",
"city": "Acushnet",
"state": "MA",
"postal_code": "027432346",
"country_code": "US",
"telephone_number": "508-688-4794",
"fax_number": "508-974-9849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEBO",
"first_name": "ALYSHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acushnet, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.