Individual provider Active NPI

Alicia McEnroy, MS, RD, LDN

  • Registered Dietitian
  • Foxboro, MA
National Provider Identifier
1679976112
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86013333 Issued in MA
Practice address
5 West St
Foxboro, MA 02035-2735
Phone
(774) 254-0418
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 86013333 MA Primary

Addresses

Primary practice location

5 West St
Foxboro, MA 02035-2735

Mailing address

5 West St
Foxboro, MA 02035-2735
Phone (774) 254-0418

Other practice location 1

574 East St
Mansfield, MA 02048-2911
Phone (774) 254-0418

Other names 1

  • Alicia Zonenshine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 2, 2019 through Aug 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86013333MAMDRegistered Dietitian
3748MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McEnroy Nutrition Dietitian, Registered 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1679976112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WEST ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352735",
            "telephone_number": "774-254-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WEST ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352735",
            "telephone_number": "774-254-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "574 East St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020482911",
            "country_code": "US",
            "telephone_number": "774-254-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENROY",
        "first_name": "ALICIA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86013333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "ZONENSHINE",
            "credential": "MS, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.