Active NPI
Michelle Phyllis Gallant, MS, RDN, LDN
- Registered Dietitian
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2777
- Practice address
- 75 Mount Auburn St
Harvard University Health Services
Cambridge, MA 02138-4960 - Phone
- (617) 495-1487
- Fax
- (617) 496-0540
- NPI assigned
- Sep 17, 2006
- 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 | 2777 | MA | Primary |
Addresses
Primary practice location
75 Mount Auburn St
Harvard University Health Services
Cambridge, MA 02138-4960
Mailing address
75 Mount Auburn St
Harvard University Health Services
Cambridge, MA 02138-4960
Phone (617) 495-1487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1563 Mass Ave
Cambridge, MA 02138-2903
Phone (617) 495-4414
75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001401 | NY | MD | Mental Health Counselor |
| 2777 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| President and Fellows of Harvard College | Current | Accepting new patients | |
| President & Fellows of Harvard College | Current | Accepting new patients |
Locations
188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434
75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042
75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414
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.
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1952366312
-
- General Practice Dentistry
- Boston, MA
- NPI 1972761807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1730286352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"address_2": "HARVARD UNIVERSITY HEALTH SERVICES",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-1487",
"fax_number": "617-496-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MOUNT AUBURN ST",
"address_2": "HARVARD UNIVERSITY HEALTH SERVICES",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384960",
"telephone_number": "617-495-1487",
"fax_number": "617-496-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLANT",
"first_name": "MICHELLE",
"middle_name": "PHYLLIS",
"name_prefix": "Ms.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.