Individual provider Active NPI

Sharon Gallagher, MED, RD, LD

  • Registered Dietitian
  • South Weymouth, MA
National Provider Identifier
1689064743
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
202 Issued in MA
Practice address
1221 Main St
Suite 203
South Weymouth, MA 02190-1561
Phone
(781) 335-7559
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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 202 MA Primary

Addresses

Primary practice location

1221 Main St
Suite 203
South Weymouth, MA 02190-1561

Mailing address

76 Alrick Rd
Quincy, MA 02169-1413
Phone (617) 653-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000618 MA Practitioner - Registered Dietitian Or Nutrition Professional 8224356266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lori Lieberman and Associates LLCGroup PAC ID 9436186988, 4 clinicians

Practice addresses (Care Compare)

111 Willard St
Suite 2F
Quincy, MA 02169-1274
Phone (781) 335-7559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
202MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Lieberman & Associates LLC Dietitian, Registered CurrentSince Feb 16, 2015 Accepting new patients
Doctors Foot Care Group Past Accepting new patients

Locations

111 Willard St
Ste 2F
Quincy, MA 02169
Phone (617) 773-2313

6 Washington Pl
Sharon, MA 02067
Phone (781) 335-7559

1221 Main St
Ste 203
Weymouth, MA 02190
Phone (781) 331-2226

Organizations & group practices 2

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1689064743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ALRICK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691413",
            "telephone_number": "617-653-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "address_2": "SUITE 203",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901561",
            "telephone_number": "781-335-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SHARON",
        "credential": "MED, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.