Mercy Devadoss, MS, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

922419/2144 Issued in MA

Practice address

501 John Mahar Hwy - 3Rd Floor
Braintree, MA 02184

Phone

(617) 291-3824

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Nutrition for Healing. LLC

  • Registered Dietitian
  • Braintree, MA
  • NPI 1801668876

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1487909362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX -334",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021880002",
            "telephone_number": "617-291-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JOHN MAHAR HWY - 3RD FLOOR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "617-291-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVADOSS",
        "first_name": "MERCY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "LDN#2144",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "922419/2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark P Dematteo, MD
• Alyssa Demeule, PT, DPT
• Denoy Physical Therapy LLC
• Kristen Ashley Denton, MAFT
• Mackenzie Desmond
• Kevin William Deveno, COTA/L
• Alexandra Devers
• Diabetes Nutritionist, LLC
• Jessica Difranco
• Haleigh Dion, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.