Liberated Nutrition, LLC.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LIBERATED NUTRITION, LLC.

Practice address

399 Boylston St Ste 900
Boston, MA 02116-3305

Phone

(860) 818-3865

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Sydney Bates, MS, RD, LDNNPI 1700354404

Title

Owner and Operator

Phone

(860) 818-3865

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney Bates, RDN

  • Registered Dietitian
  • Boston, MA
  • NPI 1700354404

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1639631195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LANDSDOWNE ST APT 1002",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394225",
            "telephone_number": "860-818-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST STE 900",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163305",
            "telephone_number": "860-818-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATED NUTRITION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "860-818-3865",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Libby, MD
• Mark H Libenson, MD
• Sarah Liber, FNP
• Mackenzie Ann Libera
• Liberated Light Counseling
• Cristina Liberati, MD
• Vilma Libere
• Abraham M Liberman, M.D.
• Stacey Liberman, M.S.
• Richard R Liberthson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.