Head to Fitness, Inc

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

HEAD TO FITNESS, INC

Practice address

78 Spring St.
Medford, MA 02155

Phone

(781) 395-7640

Fax

(781) 395-7640

NPI assigned

Oct 31, 2008

Last updated

Mar 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary V. Marshall, CNCNPI 1679738439

Title

Owner/Nutritionist

Phone

(781) 395-7640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mary Vindice Marshall, CNC

  • Nutrition Education Nutritionist
  • Medford, MA
  • NPI 1679738439

  Nutrition, Education

  NPD (past) Authorized official

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1477706679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SPRING STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-7640",
            "fax_number": "781-395-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SPRING ST.",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-7640",
            "fax_number": "781-395-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO FITNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/NUTRITIONIST",
        "authorized_official_telephone_number": "781-395-7640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNC"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Medford, MA
• Providers in Medford, MA by specialty
• Nutrition Education Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.