Individual provider Active NPI

Julia E Boisselle, RD

  • Registered Dietitian
  • Newton, MA
National Provider Identifier
1427816792
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN7324 Issued in MA
Practice address
181 Wells Ave Ste 202
Newton, MA 02459-3344
Phone
(617) 934-6400
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 LDN7324 MA Primary

Addresses

Primary practice location

181 Wells Ave Ste 202
Newton, MA 02459-3344

Mailing address

20 Essex St
Cambridge, MA 02139-2638
Phone (508) 826-5654

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDN7324MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Five Journeys, PC CurrentSince Mar 17, 2024 Accepting new patients

Locations

181 Wells Ave
Ste 202
Newton Center, MA 02459
Phone (617) 934-6400

Interoperability endpoints

  • Direct secure messaging: julia.boisselle.1@12273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12273/brand/1/csg/1/fhir/r4

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1427816792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ESSEX ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392638",
            "telephone_number": "508-826-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WELLS AVE STE 202",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593344",
            "telephone_number": "617-934-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSELLE",
        "first_name": "JULIA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN7324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.