Active NPI
Tara M Nelson, MS, RD, LDN, CNSC
- Registered Dietitian
- Sandwich, MA
National Provider Identifier
1649529454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2895
- Practice address
- 68 Tupper Road Suite 6
Sandwich, MA 02563 - Phone
- (508) 813-9282
- NPI assigned
- Sep 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2895 | MA | Primary |
Addresses
Primary practice location
68 Tupper Road Suite 6
Sandwich, MA 02563
Mailing address
18 Mossland Street
Somerville, MA 02144
Phone (978) 273-0223
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 |
|---|---|---|---|
| 2895 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1649529454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MOSSLAND STREET",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "978-273-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 TUPPER ROAD SUITE 6",
"city": "SANDWICH",
"state": "MA",
"postal_code": "02563",
"telephone_number": "508-813-9282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TARA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "MS, RD, LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.