Organization Active NPI

Jillian M Greaves

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1659860880
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JILLIAN M GREAVES
Practice address
665 Boylston St Ste 3
Boston, MA 02116-4825
Phone
(857) 244-0162
Fax
(617) 507-6172
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Jillian Greaves, RDNPI 1811401722
Title
Owner
Phone
(617) 803-0808

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

665 Boylston St Ste 3
Boston, MA 02116-4825

Mailing address

665 Boylston St Ste 3
Boston, MA 02116-4825
Phone (857) 244-0162

Other names 1

  • Prevention Pantry Nutrition Doing business as

National Provider Directory

National Provider Directory

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1659860880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825",
            "telephone_number": "857-244-0162",
            "fax_number": "617-507-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BOYLSTON ST STE 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164825",
            "telephone_number": "857-244-0162",
            "fax_number": "617-507-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN M GREAVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "GREAVES",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-803-0808",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevention Pantry Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.