Ellen Marie Bosley, MBA, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

R483239 Issued in DC

Practice address

810 Vermont Ave NW
Washington, DC 20420-0001

Phone

(202) 273-7868

Fax

(202) 273-9148

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ellen Marie Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578679387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9490 VIRGINIA CENTER BOULEVARD, UNIT 442",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221814802",
            "telephone_number": "202-273-7868",
            "fax_number": "202-273-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204200001",
            "telephone_number": "202-273-7868",
            "fax_number": "202-273-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MBA, MS,  RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "R483239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "GREEN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MBA, MS, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Boseman-Braxton
• Deborah Boseman
• Thomas Boseman, HHA
• Beth Boshart, PA-C
• Abigail Bosk, DO
• Lauren Bosley
• Jasmine Bossie, LMT
• Richard M Bossin, OD
• Katherine Grace Bossler, DPT
• Daniel Cyril Bossomo

• Registered Dietitian in Washington, DC
• Providers in Washington, DC by specialty
• Registered Dietitian in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.