Michele Ann Debiasse, PHD, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN7312 Issued in MA

Practice address

2557 Massachusetts Ave
Cambridge, MA 02140-1020

Phone

(617) 744-9233

Fax

(617) 300-8910

NPI assigned

Mar 12, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shelly Ann Debiasse Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Nourish for Life

  • Registered Dietitian
  • Cambridge, MA
  • NPI 1245843440

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1457119539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUMMER HILL RD",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541547",
            "telephone_number": "617-688-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401020",
            "telephone_number": "617-744-9233",
            "fax_number": "617-300-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIASSE",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN7312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "DEBIASSE",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHD, RDN, LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen A Deane, RPT
• Brandin Dear, LICSW
• Lauren Adler Dear, RD
• Sean Evan Deardorff, PT
• Jessica Deary, APRN, CNP
• Deborah Haynor Psychotherapy and Collaboration LLC
• Deborah Madison Muench Counseling LLC
• Deborah R Silverstein, LLC
• Stephanie N. Decross
• Ronit Dedesma, M.D.

• Registered Dietitian in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.