Active NPI
Mollie Wright, MS RD LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1639592025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3069
- Practice address
- 300 Longwood Ave
Fegan Building, 5TH Floor
Boston, MA 02115-5724 - Phone
- (617) 355-4677
- NPI assigned
- Jan 22, 2014
- Last updated
- Jan 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3069 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Fegan Building, 5TH Floor
Boston, MA 02115-5724
Mailing address
112 Decatur St
Apt 6
Arlington, MA 02474-3551
Phone (410) 206-7923
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1639592025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DECATUR ST",
"address_2": "APT 6",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024743551",
"telephone_number": "410-206-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "FEGAN BUILDING, 5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MOLLIE",
"credential": "MS RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.