Hailey Crean Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HAILEY CREAN NUTRITION, LLC

Practice address

24 Walnut PL
Newton Highlands, MA 02461-1717

Phone

(617) 812-3180

Fax

(833) 898-0629

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Hailey Crean, RD

Title

Owner

Phone

(617) 812-3180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1548890205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WALNUT PL",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611717",
            "telephone_number": "617-812-3180",
            "fax_number": "833-898-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALNUT PL",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611717",
            "telephone_number": "617-812-3180",
            "fax_number": "833-898-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILEY CREAN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "CREAN",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-812-3180",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Gormley, LCSW
• Joan Green, LMHC
• Matthew Green, LMHC
• Susan Unger Green, MSW
• Laurie E Hackett, M.S.W., L.I.C.S.W.
• Debra Ann Harkins, PHD
• Elizabeth Harrington, PH.D.
• Herbert M. Shuer, O.D.
• Highland Eye Care Inc
• Highland Opticians LLC

• Registered Dietitian in Newton Highlands, MA
• Providers in Newton Highlands, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.