Active NPI
Amethyst Scolnick, RD, LDN
- Registered Dietitian
- Burlington, MA
National Provider Identifier
1588429112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1077989
- Practice address
- 20 Corporate Dr Apt 345
Burlington, MA 01803-4273 - Phone
- (914) 582-9188
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN3815 | MA | |
| Registered Dietitian | 133V00000X | 1077989 | Primary |
Addresses
Primary practice location
20 Corporate Dr Apt 345
Burlington, MA 01803-4273
Mailing address
20 Corporate Dr Apt 345
Burlington, MA 01803-4273
Phone (914) 582-9188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN3815 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1588429112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CORPORATE DR APT 345",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034273",
"telephone_number": "914-582-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CORPORATE DR APT 345",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034273",
"telephone_number": "914-582-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOLNICK",
"first_name": "AMETHYST",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN3815",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1077989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.