Active NPI
Dariana Soto-Reyes, R.D., L.D.N.
- Registered Dietitian
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000003331
- Practice address
- 73D Winthrop Ave
Lawrence, MA 01843-3716 - Phone
- (978) 686-3017
- Fax
- (978) 685-5612
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 000003331 | MA | Primary |
Addresses
Primary practice location
73D Winthrop Ave
Lawrence, MA 01843-3716
Mailing address
73D Winthrop Ave
Lawrence, MA 01843-3716
Phone (978) 686-3017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1613 | Other | PR | DIETITIAN'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 -71 N Parish Rd
Lawrence, MA 01843-2914
Phone (978) 722-8391
73 D Winthrop Ave
Plaza 114
Lawrence, MA 01843-3716
Phone (978) 686-3017
755 Main St
Haverhill, MA 01830-2166
Phone (978) 557-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003331 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lawrence Family Health Center Inc | Current | Accepting new patients | |
| Greater Lawrence Family Health Center, Inc. | Current | Accepting new patients |
Locations
150 Park St
Lawrence, MA 01841
Phone (978) 685-1770
73D Winthrop Ave
Ste 114
Lawrence, MA 01843
73D Winthrop Ave
Lawrence, MA 01843
Phone (978) 686-3017
34 Haverhill St
Lawrence, MA 01841
Interoperability endpoints
- dariana.soto-reyes.1@23857.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Lawrence, MA
- NPI 1699774646
-
- Federally Qualified Health Center (FQHC)
- Haverhill, MA
- NPI 1003437344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1508160813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73D WINTHROP AVE",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433716",
"telephone_number": "978-686-3017",
"fax_number": "978-685-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73D WINTHROP AVE",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433716",
"telephone_number": "978-686-3017",
"fax_number": "978-685-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO-REYES",
"first_name": "DARIANA",
"credential": "R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN'S LICENSE",
"identifier": "1613",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.