Individual provider Active NPI

Ayn L. Berthiaume, MS, RD, LDN

  • Registered Dietitian
  • Fitchburg, MA
National Provider Identifier
1508068966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2269 Issued in MA
Practice address
66 Day St
Fitchburg, MA 01420-4316
Phone
(978) 345-8501
Fax
(978) 342-0855
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2269 MA Primary

Addresses

Primary practice location

66 Day St
Fitchburg, MA 01420-4316

Mailing address

66 Day St
Fitchburg, MA 01420-4316
Phone (978) 345-8501

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2269MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Places Garden Project Inc. Current Accepting new patients
Making Opportunity Count, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508068966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DAY ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204316",
            "telephone_number": "978-345-8501",
            "fax_number": "978-342-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 DAY ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204316",
            "telephone_number": "978-345-8501",
            "fax_number": "978-342-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHIAUME",
        "first_name": "AYN",
        "middle_name": "L.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, 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.

Verify at the official NPI Registry.