Alexis Penney, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3198 Issued in MA

Practice address

8 Edgar CT Unit 2
Somerville, MA 02145-1409

Phone

(774) 722-2152

Fax

(833) 232-0836

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1487053559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EDGAR CT UNIT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451409",
            "telephone_number": "774-722-2152",
            "fax_number": "833-232-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EDGAR CT UNIT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451409",
            "telephone_number": "774-722-2152",
            "fax_number": "833-232-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 Boylston St Ste 201H",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163698",
            "country_code": "US",
            "telephone_number": "774-722-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie N Paul
• Kathleen S Paye, LCSW
• Michael Clarence Payne, M.D., M.P.H.
• Elizabeth Morehouse Pearce, FNP-BC, RN
• Madeline Pennebaker
• Vanpat Pensuwan, MD
• Nicholas Paul Penzarella, D.C.
• Ellura Rezza Mae Pepito, D.D.S.
• Carla Perez Martinez
• Orlando Leandro Perez-Bonilla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.