Elizabeth Austin Avery, MS RD CSO LDN CNSC
Individual provider Active NPI Registered Dietitian · Milton, MA
NPI 1659668366 · NPPES record last updated Aug 22, 2013
Key facts
- NPI
- 1659668366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3015 (MA)
- Practice address
- 364 Granite Ave
Milton, MA 02186-5025 - Phone
- (617) 698-0260
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3015 | MA | Yes |
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
Other providers in Milton, MA
- Apex Medical Associates LLC
- Apex Multispeciality Medical Associates LLC
- Mary Louise Ashur
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
- Kristan Marie Bagley Jones
- Marietta M Bague
- Felicia Barbosa
- John Barravecchio
- Anne Marie Barrett
All providers in Milton, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.