Sophia C Kamveris, DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1137 Issued in MA

Practice address

22 Mill St
Suite 105
Arlington, MA 02476-4784

Phone

(617) 515-8984

Fax

(781) 274-0269

NPI assigned

Jan 16, 2006

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
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  dba Austin Associates

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  • NPI 1376568857
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1619956810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MASSACHUSETTS AVE",
            "address_2": "UNIT 460",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203805",
            "telephone_number": "781-274-0268",
            "fax_number": "781-274-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 105",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "617-515-8984",
            "fax_number": "781-274-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMVERIS",
        "first_name": "SOPHIA",
        "middle_name": "C",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGIM HEALTH CAR",
            "identifier": "39464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LD0121",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1703129",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFT'S TOTAL HEALTH PLAN",
            "identifier": "470011",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7541546",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luz Marina D Jutras, D.M.D.
• Martin Paul Kafka, M.D.
• Quinton Kakaley
• Emily Fox Kales, PH.D.
• Kalpana Kaveti PC
• Hugo Athanasius Kamya, PHD
• Charles Kaplan, RN
• Nora E Kaplan, MSW, LICSW
• Kate Kapstad, MA,SLP-CCC
• Donna Katcher, MD

• Registered Dietitian in Arlington, MA
• Providers in Arlington, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.