Dominique Deslauriers

Primary specialty

NutritionistTaxonomy code 133N00000X

License

4333 Issued in MA

Practice address

264 N Main St Ste 7
East Longmeadow, MA 01028-1815

Phone

(413) 636-9652

NPI assigned

Mar 25, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Happy Valley Nutrition PC

  • Registered Dietitian
  • Amherst, MA
  • NPI 1780223032
  NPD
• Nutrition in Motion

  • Registered Dietitian
  • Bedford, NH
  • NPI 1548437312
  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1457988974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 7",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-636-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.nimrd.com/",
            "affiliation": "Y",
            "endpointDescription": "https://www.nimrd.com/request-appointment/",
            "affiliationName": "Nutrition in Motion",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.nimrd.com/request-appointment/",
            "address_1": "264 N Main St Ste 7",
            "city": "East Longmeadow",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010281815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Precious Jaleesa Dejesus
• Joanna Del Viscio, MS
• Sarah Emily Delisle, PA
• Rebecca E Dennis
• Joseph Deschene
• Christopher Pablo Diaz
• Danielle Diaz
• Vincent H Dinh, RPH
• Terry Ditmar, PT
• DK Mental Focus and Behavior Services PLLC

• Nutritionist in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.