Active NPI
Elvira Quiroga Johnson, M.S.,R.D.,C.D.E.,LDN
- Registered Dietitian
- Woburn, MA
National Provider Identifier
1407949043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NU850
- Practice address
- 15 Commonwealth Ave
Neighborhood Diabetes
Woburn, MA 01801-5193 - Phone
- (866) 784-5647
- Fax
- (781) 246-1978
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU850 | MA | Primary |
Addresses
Primary practice location
15 Commonwealth Ave
Neighborhood Diabetes
Woburn, MA 01801-5193
Mailing address
14 Flint Street
North Reading, MA 01864
Phone (978) 664-3093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469779 | Other | MA | TUFTS HEALTH CARE |
| LD0129 | Other | MA | BCBSMA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850 | MA | MD | Professional Counselor |
| NU850 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Medical, LLC | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Milford, MA
- NPI 1609864990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1407949043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FLINT STREET",
"city": "NORTH READING",
"state": "MA",
"postal_code": "01864",
"telephone_number": "978-664-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMONWEALTH AVE",
"address_2": "NEIGHBORHOOD DIABETES",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015193",
"telephone_number": "866-784-5647",
"fax_number": "781-246-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELVIRA",
"middle_name": "QUIROGA",
"name_prefix": "Ms.",
"credential": "M.S.,R.D.,C.D.E.,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "NU850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "469779",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "LD0129",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.