Active NPI
Emma Mary Falconer, RD, LDN
- Registered Dietitian
- Charleston, SC
National Provider Identifier
1720538309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4190-NU-NU
- Practice address
- 10 Bee St Apt C
Charleston, SC 29403-5854 - Phone
- (203) 560-5297
- NPI assigned
- Oct 7, 2016
- 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 | 4190-NU-NU | MA | Primary |
Addresses
Primary practice location
10 Bee St Apt C
Charleston, SC 29403-5854
Mailing address
3 Bow St
Cambridge, MA 02138-5109
Phone (203) 560-5297
Other practice location 1
3 Bow St
Cambridge, MA 02138-5109
Phone (203) 560-5297
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4190-NU-NU | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori Lieberman & Associates LLC | Dietitian, Registered | Current | Accepting new patients |
| Emma Falconer | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Quincy, MA
- NPI 1518045830
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1720538309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BOW ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385109",
"telephone_number": "203-560-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BEE ST APT C",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035854",
"telephone_number": "203-560-5297"
}
],
"practiceLocations": [
{
"address_1": "3 Bow St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385109",
"country_code": "US",
"telephone_number": "203-560-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALCONER",
"first_name": "EMMA",
"middle_name": "MARY",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4190-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.