Siobhan Donofrio, LDN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

LDN6012 Issued in MA

Practice address

67 Pope Rd
Acton, MA 01720-5613

Phone

(617) 584-0358

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Be Fit Nutrit, LLC

  • Nutrition Education Nutritionist
  • Acton, MA
  • NPI 1982423232

  Nutrition, Education

  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1558059154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 POPE RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205613",
            "telephone_number": "617-584-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 POPE RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205613",
            "telephone_number": "617-584-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOFRIO",
        "first_name": "SIOBHAN",
        "credential": "LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "LDN6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy DO
• Samantha Meyer Dolat
• Kristina Martin Donahue
• Mary Donald, MD
• Soujanya Dongari
• Alessia Doss, LICSW
• Brianna Dowse
• Dr. Alan J Berko D.D.S., P.C.
• Dr. Holly Parker, PLLC
• Emily Bronwyn Drazen, NP

• All providers in Acton, MA
• Nutrition Education Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.