Active NPI
Maryellen Boyce, DIETITIAN
- Registered Dietitian
- Richfield, UT
National Provider Identifier
1659470417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 55327854901
- Practice address
- 1000 N Main St
Richfield, UT 84701-1857 - Phone
- (435) 893-4100
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- 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 | 55327854901 | UT | Primary |
Addresses
Primary practice location
1000 N Main St
Richfield, UT 84701-1857
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (801) 357-7475
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55327854901 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659470417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180",
"telephone_number": "801-357-7475",
"fax_number": "801-357-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N MAIN ST",
"city": "RICHFIELD",
"state": "UT",
"postal_code": "847011857",
"telephone_number": "435-893-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYCE",
"first_name": "MARYELLEN",
"credential": "DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "55327854901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.