NPIMap

Organization Active NPI

Secret Sauce Nutrition

  • Registered Dietitian
  • Winthrop, MA
National Provider Identifier
1457016073
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SECRET SAUCE NUTRITION
Practice address
249 Winthrop Shore Dr Apt 5
Winthrop, MA 02152-1153
Phone
(201) 458-4065
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Nicolette Star Maggiolo, RDN, LDNNPI 1356899850
Title
Registered Dietitian Nutritionist
Phone
(201) 458-4065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

249 Winthrop Shore Dr Apt 5
Winthrop, MA 02152-1153

Mailing address

249 Winthrop Shore Dr Apt 5
Winthrop, MA 02152-1153
Phone (201) 458-4065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicolette@secretsaucenutrition.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: nicolette@secretsaucenutrition.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1457016073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WINTHROP SHORE DR APT 5",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521153",
            "telephone_number": "201-458-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WINTHROP SHORE DR APT 5",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521153",
            "telephone_number": "201-458-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECRET SAUCE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "MAGGIOLO",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "STAR",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "201-458-4065",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicolette@secretsaucenutrition.com",
            "affiliation": "N",
            "address_1": "249 Winthrop Shore Dr Apt 5",
            "city": "Winthrop",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021521153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.