NPIMap

Organization Active NPI

SMC Nutrition, LLC

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1538798103
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SMC NUTRITION, LLC
Practice address
56 Sigourney St
Boston, MA 02130-2937
Phone
(857) 273-0744
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Sally M Cohen, RD, LDNNPI 1205200425
Title
Owner & Registered Dietitian
Phone
(857) 273-0744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

56 Sigourney St
Boston, MA 02130-2937

Mailing address

56 Sigourney St
Boston, MA 02130-2937
Phone (857) 273-0744

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1538798103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SIGOURNEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302937",
            "telephone_number": "857-273-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SIGOURNEY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302937",
            "telephone_number": "857-273-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER & REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "857-273-0744",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.