Susan Carroll, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

217 Issued in MA

Practice address

360 W Boylston St RM 107
West Boylston, MA 01583-2370

Phone

(508) 854-1380

Fax

(508) 854-1380

NPI assigned

Dec 27, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Susan Carroll

  • Registered Dietitian
  • West Boylston, MA
  • NPI 1841052255

  Dietitian, Registered

  NPD Authorized official
• Francis Holistic Medical Center, P.C.

  • General Practice Physician
  • West Boylston, MA
  • NPI 1447361837
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1497810600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MERIDIAN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021285123",
            "telephone_number": "617-398-7752",
            "fax_number": "857-264-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BOYLSTON ST RM 107",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832370",
            "telephone_number": "508-854-1380",
            "fax_number": "508-854-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Meridian St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021285123",
            "country_code": "US",
            "telephone_number": "617-398-7752",
            "fax_number": "857-264-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SUSAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "LD0181",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA51160",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Rose Bronk, PT, DPT
• Jennifer Busenburg
• Hope Cantwell
• Care 4 All Nursing Services LLC
• Kate Carpenter
• Michael Steven Casey, D.M.D.
• Neil Patrick Casey, O.D.
• Central Massachusetts Physical Therapy and Wellness, L
• Central Massachusetts Physical Therapy and Wellness, LLC
• Susan A. Chlapowski, MA, M.ED., LMHC

• Registered Dietitian in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.