Active NPI
Elizabeth Austin Avery, MS RD CSO LDN CNSC
- Registered Dietitian
- Milton, MA
National Provider Identifier
1659668366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3015
- Practice address
- 364 Granite Ave
Milton, MA 02186-5025 - Phone
- (617) 698-0260
- NPI assigned
- Jul 1, 2011
- Last updated
- Aug 22, 2013
- 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 | 3015 | MA | Primary |
Addresses
Primary practice location
364 Granite Ave
Milton, MA 02186-5025
Mailing address
191 Saint Botolph St
Apt. 4
Boston, MA 02115-5169
Phone (617) 721-7865
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PJM Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1659668366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 SAINT BOTOLPH ST",
"address_2": "APT. 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155169",
"telephone_number": "617-721-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 GRANITE AVE",
"city": "MILTON",
"state": "MA",
"postal_code": "021865025",
"telephone_number": "617-698-0260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "ELIZABETH",
"middle_name": "AUSTIN",
"name_prefix": "Ms.",
"credential": "MS RD CSO LDN CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, MA
- Apex Medical Associates LLC
- Apex Multispeciality Medical Associates LLC
- Mary Louise Ashur, M.D.
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is (APHMFP-Radiology)
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is (APHMFP - Pathology)
- Kristan Marie Bagley Jones, MSW, LICSW
- Marietta M Bague, M.D.
- Felicia Barbosa
- John Barravecchio, M.D.
- Anne Marie Barrett, MS RN CS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.