Individual provider Active NPI

Lyssa Merriam Petter, MS,RD,LDN

  • Registered Dietitian
  • Methuen, MA
National Provider Identifier
1710086277
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
826 Issued in MA
Practice address
Caritas Holy Family Hospital 70 East Street
Convent Building
Methuen, MA 01844
Phone
(978) 687-0156
Fax
(978) 681-9075
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 826 MA Primary

Addresses

Primary practice location

Caritas Holy Family Hospital 70 East Street
Convent Building
Methuen, MA 01844

Mailing address

13 Pinecrest Rd
Andover, MA 01810-5712
Phone (978) 687-0156

Other identifiers 2

IdentifierTypeStateIssuer
701743OtherMACDR ID #
826OtherMADIETITIAN LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000656 MA Practitioner - Registered Dietitian Or Nutrition Professional 7911943816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
New York University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

2007 Bay St
Suite 100
Taunton, MA 02780-1086
Phone (774) 409-2009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
826MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 6, 2019 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Dietitian, Registered CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 6, 2019 Accepting new patients

Locations

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

531 Faunce Corner Rd
Fl 3
Dartmouth, MA 02747

851 Middle St
Ste 2400
Fall River, MA 02721
Phone (508) 397-8791

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

91 Washington St
Unit 304
Taunton, MA 02780

2007 Bay St
Ste 100
Taunton, MA 02780
Phone (508) 824-5484

2005 Bay St
Ste 100
Taunton, MA 02780

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Organizations & group practices 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1710086277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PINECREST RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105712",
            "telephone_number": "978-687-0156",
            "fax_number": "978-681-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARITAS HOLY FAMILY HOSPITAL 70 EAST STREET",
            "address_2": "CONVENT BUILDING",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-687-0156",
            "fax_number": "978-681-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTER",
        "first_name": "LYSSA",
        "middle_name": "MERRIAM",
        "credential": "MS,RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR ID #",
            "identifier": "701743",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN LICENSE #",
            "identifier": "826",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.