Active NPI
Stacie Delucia
- Registered Dietitian
- Newton, MA
National Provider Identifier
1558972976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86072322
- Practice address
- 181 Wells Ave Ste 202
Newton, MA 02459-3344 - Phone
- (617) 934-6400
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86072322 | Primary |
Addresses
Primary practice location
181 Wells Ave Ste 202
Newton, MA 02459-3344
Mailing address
181 Wells Ave Ste 202
Newton, MA 02459-3344
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Journeys, PC | Current | Accepting new patients |
Locations
181 Wells Ave
Ste 202
Newton Center, MA 02459
Phone (617) 934-6400
Interoperability endpoints
- https://api.platform.athenahealth.com/12273/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1558731711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1558972976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 WELLS AVE STE 202",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 WELLS AVE STE 202",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593344",
"telephone_number": "617-934-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "STACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86072322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.