Active NPI
Terrie Janice Maclaren, R.D.
- Registered Dietitian
- Oak Bluffs, MA
National Provider Identifier
1497996987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2300
- Practice address
- 21 Pankhanne St
Oak Bluffs, MA 02557-0000 - Phone
- (774) 563-8311
- NPI assigned
- Mar 13, 2009
- Last updated
- Mar 13, 2009
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2300 | MA | Primary |
Addresses
Primary practice location
21 Pankhanne St
Oak Bluffs, MA 02557-0000
Mailing address
PO Box 2553
Oak Bluffs, MA 02557-2553
Phone (774) 563-8311
Other names 1
- Terrie Janice Ray
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 |
|---|---|---|---|
| 2300 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1497996987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2553",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "025572553",
"telephone_number": "774-563-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PANKHANNE ST",
"city": "OAK BLUFFS",
"state": "MA",
"postal_code": "025570000",
"telephone_number": "774-563-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLAREN",
"first_name": "TERRIE",
"middle_name": "JANICE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRIE",
"last_name": "RAY",
"middle_name": "JANICE",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Bluffs, MA
- Emanna Louis, M.A.
- Lindsay Anne Lynn, MD
- Angelica Lyon
- Kevin Mabie, M.D.
- Dianne Lynn Mackellar, LMHC LMFT CADAC
- Martha's Vineyard Community Services, Inc.
- Martha's Vineyard Hospital
- Martha's Vineyard Hospital
- Martha's Vineyard Hospital (Martha's Vineyard Hospital Physician Group)
- Martha's Vineyard Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.