Active NPI
Eileen Bote
- Registered Dietitian
- Lenox, MA
National Provider Identifier
1720510951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 004280-NU-NU
- Practice address
- 55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123 - Phone
- (413) 637-9991
- NPI assigned
- Mar 28, 2017
- Last updated
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 004280-NU-NU | MA | Primary |
Addresses
Primary practice location
55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123
Mailing address
55 Pittsfield Rd
Suite 9
Lenox, MA 01240-2123
Phone (413) 637-9991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2017 through May 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004280-NU-NU | MA | MD | Registered Dietitian |
| 4281 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyman Integrative Therapies | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The UltraWellness Center
- Integrative Medicine Physician
- Lenox, MA
- NPI 1508563594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1720510951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PITTSFIELD RD",
"address_2": "SUITE 9",
"city": "LENOX",
"state": "MA",
"postal_code": "012402123",
"telephone_number": "413-637-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PITTSFIELD RD",
"address_2": "SUITE 9",
"city": "LENOX",
"state": "MA",
"postal_code": "012402123",
"telephone_number": "413-637-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTE",
"first_name": "EILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "004280-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenox, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.