Active NPI
Kristen Nicole Torres, RD
- Registered Dietitian
- Dorchester, MA
National Provider Identifier
1629600598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1105640
- Practice address
- 22 Roseclair St Apt 1
Dorchester, MA 02125-3694 - Phone
- (617) 780-7363
- NPI assigned
- Feb 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3345 | MA | |
| Registered Dietitian | 133V00000X | 1105640 | Primary |
Addresses
Primary practice location
22 Roseclair St Apt 1
Dorchester, MA 02125-3694
Mailing address
22 Roseclair St Apt 1
Dorchester, MA 02125-3694
Phone (617) 780-7363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3345 | Other | MA | COMMONWEALTH OF MASSACHUSETTS |
| 1105640 | Other | COMMISSION ON DIETETIC REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dorchester | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1629600598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ROSECLAIR ST APT 1",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253694",
"telephone_number": "617-780-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROSECLAIR ST APT 1",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253694",
"telephone_number": "617-780-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3345",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1105640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS",
"identifier": "3345",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "1105640",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dorchester",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22 Roseclair St Apt 1",
"city": "Dorchester",
"state": "MA",
"country_code": "US",
"postal_code": "021253694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.