Organization Active NPI

Greene Nutrition, LLC

Doing business as Greene Nutrition

  • Registered Dietitian
  • Acton, MA
National Provider Identifier
1649860719
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GREENE NUTRITION, LLC
Doing business as
Greene Nutrition
Practice address
525 Massachusetts Ave Ste 101C
Acton, MA 01720-2963
Phone
(617) 356-7037
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Kimberly Murachver, MS, RD, LDN, CDENPI 1760802797
Title
Owner/Registered Dietitian
Phone
(617) 356-7037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

525 Massachusetts Ave Ste 101C
Acton, MA 01720-2963

Mailing address

7 Abby Rd
Westford, MA 01886-4531
Phone (603) 494-5234

Other identifiers 1

IdentifierTypeStateIssuer
1760802797MedicaidMA

Other names 1

  • Greene Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

525 Massachusetts Ave
Ste 101C
Acton, MA 01720
Phone (617) 356-7037

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1649860719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ABBY RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018864531",
            "telephone_number": "603-494-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MASSACHUSETTS AVE STE 101C",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202963",
            "telephone_number": "617-356-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MURACHVER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "617-356-7037",
        "authorized_official_credential": "MS, RD, LDN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760802797",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.