Individual provider Active NPI

Joanne Levy Soolman, MS, RD, LDN

  • Registered Dietitian
  • Wellesley, MA
National Provider Identifier
1679846836
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3021 Issued in MA
Practice address
555 Washington Street
Second Floor
Wellesley, MA 02482-5925
Phone
(781) 237-0470
NPI assigned
Feb 20, 2012
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3021 MA Primary

Addresses

Primary practice location

555 Washington Street
Second Floor
Wellesley, MA 02482-5925

Mailing address

555 Washington Street
Second Floor
Wellesley, MA 02482-5925
Phone (781) 237-0470

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

LicenseStateTypeSpecialty
3021MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1679846836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON STREET",
            "address_2": "SECOND FLOOR",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825925",
            "telephone_number": "781-237-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON STREET",
            "address_2": "SECOND FLOOR",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825925",
            "telephone_number": "781-237-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOLMAN",
        "first_name": "JOANNE",
        "middle_name": "LEVY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.