Active NPI
Allison Depaolo
- Registered Dietitian
- Belmont, MA
National Provider Identifier
1689211450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4861
- Practice address
- 60 Berwick St
Belmont, MA 02478-3642 - Phone
- (857) 228-4840
- NPI assigned
- Nov 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4861 | MA | Primary |
Addresses
Primary practice location
60 Berwick St
Belmont, MA 02478-3642
Mailing address
126 Main St # 219
Watertown, MA 02472-4416
Phone (857) 228-4840
Other practice location 1
3 Bow St
Cambridge, MA 02138-5109
Phone (617) 547-2255 ext. 266
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adepaolo@cedcmail.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4861 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nature Nurture Nourish LLC | Dietitian, Registered | Current | 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": "1574985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1689211450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MAIN ST # 219",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724416",
"telephone_number": "857-228-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BERWICK ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783642",
"telephone_number": "857-228-4840"
}
],
"practiceLocations": [
{
"address_1": "3 Bow St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385109",
"country_code": "US",
"telephone_number": "617-547-2255 x266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEPAOLO",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-29",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adepaolo@cedcmail.com",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3 Bow St",
"city": "Cambridge",
"state": "MA",
"country_code": "US",
"postal_code": "021385109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.