NPIMap

Organization Active NPI

Laura Kim Nutrition

  • Registered Dietitian
  • Foxboro, MA
National Provider Identifier
1720575673
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4042 Issued in MA
Legal business name
LAURA KIM NUTRITION
Practice address
40 Mechanic St Ste 104
Foxboro, MA 02035-2074
Phone
(617) 539-6005
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura H Kim, RD, LDNNPI 1588119705
Title
Dietitian
Phone
(617) 539-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 4042 MA Primary

Addresses

Primary practice location

40 Mechanic St Ste 104
Foxboro, MA 02035-2074

Mailing address

28 Vinton St # 1
Boston, MA 02127-3527

National Provider Directory

National Provider Directory

Locations

40 Mechanic St
Ste 104
Foxboro, MA 02035
Phone (617) 539-6005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1720575673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 VINTON ST # 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MECHANIC ST STE 104",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352074",
            "telephone_number": "617-539-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA KIM NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "617-539-6005",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4042",
            "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 Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.