Individual provider Active NPI

Alysha Gebo, RD

  • Registered Dietitian
  • Acushnet, MA
National Provider Identifier
1407230386
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160225002073 MA Practitioner - Registered Dietitian Or Nutrition Professional 2860797057 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3839MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Nutrition PLLC Dietitian, Registered CurrentSince Oct 29, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 19, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 19, 2015 Accepting new patients
Alysha Gebo Dietitian, Registered CurrentSince Apr 23, 2023 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.

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.

Verify at the official NPI Registry.