Active NPI
Julie S Menges, LDN
- Nutritionist
- Chatham, MA
National Provider Identifier
1497890727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 970
- Practice address
- 78 Crowell Rd
Chatham, MA 02633-1966 - Phone
- (508) 945-0187
- Fax
- (508) 945-5864
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 970 | MA | Primary |
Addresses
Primary practice location
78 Crowell Rd
Chatham, MA 02633-1966
Mailing address
208 Commons Way
Brewster, MA 02631-2683
Phone (508) 896-7279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970 | MA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497890727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 COMMONS WAY",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312683",
"telephone_number": "508-896-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 CROWELL RD",
"city": "CHATHAM",
"state": "MA",
"postal_code": "026331966",
"telephone_number": "508-945-0187",
"fax_number": "508-945-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENGES",
"first_name": "JULIE",
"middle_name": "S",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.