Individual provider Active NPI

Yvonne B. Chambers-Kozarov, R.D.

  • Nutrition Education Nutritionist
  • Norwell, MA
National Provider Identifier
1437457454
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
3086 Issued in MA
Practice address
143 Longwater Drive
Norwell, MA 02061-9147
Phone
(781) 878-5200
Fax
(781) 878-3989
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Nutrition Education Nutritionist 133NN1002X 3086 MA Primary

Addresses

Primary practice location

143 Longwater Drive
Norwell, MA 02061-9147

Mailing address

141 Longwater Drive
Norwell, MA 02061-9147
Phone (781) 878-5200

Other identifiers 2

IdentifierTypeStateIssuer
SS0080OtherMABCBSMA
1437457454OtherFLLON

Other names 1

  • Yvonne B. Chambers Former name

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

State licenses

LicenseStateTypeSpecialty
3086MAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1437457454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DRIVE",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020619147",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LONGWATER DRIVE",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020619147",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS-KOZAROV",
        "first_name": "YVONNE",
        "middle_name": "B.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "SS0080",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLLON",
            "identifier": "1437457454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "CHAMBERS",
            "middle_name": "B.",
            "credential": "R.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.