NPIMap

Organization Active NPI

Sustainable Dish, LLC

  • Registered Dietitian
  • Carlisle, MA
National Provider Identifier
1588190516
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SUSTAINABLE DISH, LLC
Practice address
185 Concord St
Carlisle, MA 01741
Phone
(978) 223-1440
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Diana RodgersNPI 1063862100
Title
Owner
Phone
(978) 998-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

185 Concord St
Carlisle, MA 01741

Mailing address

97 Lowell Rd Unit A7
Concord, MA 01742-1733

National Provider Directory

National Provider Directory

Locations

77 Junction Square Dr
Concord, MA 01742
Phone (203) 470-3290

97 Lowell Rd
Ste 3
Concord, MA 01742

97 Lowell Rd
Ste A7
Concord, MA 01742

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1588190516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LOWELL RD UNIT A7",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CONCORD ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "01741",
            "telephone_number": "978-223-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABLE DISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-998-9443"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.