Active NPI
Joi Augustin Gleason, R.D., L.D.N.
- Registered Dietitian
- Beverly, MA
National Provider Identifier
1699017574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NU463
- Practice address
- 158 Hale St
Beverly, MA 01915-3845 - Phone
- (617) 291-4132
- Fax
- (978) 921-4840
- NPI assigned
- Mar 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU463 | MA | |
| Registered Dietitian | 133V00000X | NU463 | MA | Primary |
Addresses
Primary practice location
158 Hale St
Beverly, MA 01915-3845
Mailing address
158 Hale St
Beverly, MA 01915-3845
Phone (617) 291-4132
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 |
|---|---|---|---|
| NU463 | MA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1699017574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 HALE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153845",
"telephone_number": "617-291-4132",
"fax_number": "978-921-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 HALE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153845",
"telephone_number": "617-291-4132",
"fax_number": "978-921-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "JOI",
"middle_name": "AUGUSTIN",
"credential": "R.D., L.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "NU463",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "NU463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.