Active NPI
Nicole Meyer, RD
- Registered Dietitian
- Foxboro, MA
National Provider Identifier
1720537152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4257
- Practice address
- 113 Washington St
Foxboro, MA 02035-1332 - Phone
- (508) 838-8217
- NPI assigned
- Sep 27, 2016
- 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 | 4257 | MA | Primary |
Addresses
Primary practice location
113 Washington St
Foxboro, MA 02035-1332
Mailing address
90 Germaine Dr
North Attleboro, MA 02760-4437
Phone (508) 838-8217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | MA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1266 Furnace Brook Pkwy
Ste 404
Quincy, MA 02169
Phone (617) 481-9395
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1720537152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 GERMAINE DR",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027604437",
"telephone_number": "508-838-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WASHINGTON ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020351332",
"telephone_number": "508-838-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "NICOLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.