Waverley Oaks Athletic Club

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WAVERLEY OAKS ATHLETIC CLUB

Practice address

425 Waverley Oaks Rd Ste 200
Waltham, MA 02452

Phone

(781) 894-7010

Fax

(781) 894-7014

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Adam Healy

Title

General Manager

Phone

(781) 894-7010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janyce M Gately, RD, LDN

  • Registered Dietitian
  • Waltham, MA
  • NPI 1386946960

  Dietitian, Registered

  NPD
• Jessica L Roy, MS RD LDN

  • Registered Dietitian
  • Waltham, MA
  • NPI 1649532169

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1497118103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-894-7010",
            "fax_number": "781-894-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WAVERLEY OAKS RD STE 200",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "781-894-7010",
            "fax_number": "781-894-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLEY OAKS ATHLETIC CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "781-894-7010"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watch City Counseling
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• Kristin Watkins, MS
• Flavia Lima Watson
• Waverley Oaks Dental Care Specialists LLC
• Waverly Oaks Dental, Inc.
• Kelly Michelle Wawrzyniak, PSYD
• Wayside Youth & Family Support Network
• Wayside Youth and Family Support Network

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.