Individual provider Active NPI

Julie L Hersey, MS, RDN, LDN

  • Registered Dietitian
  • Melrose, MA
National Provider Identifier
1558156448
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3177 Issued in MA
Practice address
59 Beech Ave
Melrose, MA 02176-4837
Phone
(978) 473-9681
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3177 MA Primary

Addresses

Primary practice location

59 Beech Ave
Melrose, MA 02176-4837

Mailing address

468 Main St
Lynnfield, MA 01940-1762
Phone (978) 473-9681

Other names 1

  • Mrs. Julie Menounos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1558156448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 MAIN ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401762",
            "telephone_number": "978-473-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BEECH AVE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764837",
            "telephone_number": "978-473-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSEY",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MENOUNOS",
            "prefix": "MRS.",
            "credential": "MS, RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.