Active NPI
Aneta Braam, RD
- Metabolic Nutrition Registered Dietitian
- Worcester, MA
National Provider Identifier
1578967063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 3599
- Practice address
- 630 Plantation St
Worcester, MA 01605-2038 - Phone
- (508) 852-6175
- Fax
- (508) 595-2122
- NPI assigned
- Oct 14, 2014
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 3599 | MA | Primary |
Addresses
Primary practice location
630 Plantation St
Worcester, MA 01605-2038
Mailing address
630 Plantation St
Wot 12TH FL
Worcester, MA 01605-2038
Phone (508) 368-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3599 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Center, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc | Nutrition, Metabolic | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Organizations & group practices 4
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.
-
- Psychiatric Hospital Unit
- Worcester, MA
- NPI 1689760092
-
- Registered Dietitian
- Worcester, MA
- NPI 1679131361
Nutrition, Metabolic
-
- General Acute Care Hospital
- Marlborough, MA
- NPI 1396738159
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1578967063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"address_2": "WOT 12TH FL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-368-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-852-6175",
"fax_number": "508-595-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAAM",
"first_name": "ANETA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MA",
"license": "3599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.