Active NPI
Ixcela, Inc.
- Registered Dietitian
- Beverly, MA
National Provider Identifier
1508691122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- IXCELA, INC.
- Practice address
- 376 Hale St
Beverly, MA 01915-2096 - Phone
- (781) 538-6614
- NPI assigned
- Sep 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Hartsfield
- Title
- Director of Operations
- Phone
- (781) 532-0188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
376 Hale St
Beverly, MA 01915-2096
Mailing address
376 Hale St
Beverly, MA 01915-2096
Phone (781) 538-6614
National Provider Directory
National Provider Directory- Tax ID family
- Ixcela Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Beverly, MA
- NPI 1043154271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1508691122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 HALE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152096",
"telephone_number": "781-538-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 HALE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152096",
"telephone_number": "781-538-6614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IXCELA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "HARTSFIELD",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "781-532-0188"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.