Active NPI
Hillary Monroe Mamis, RD, LDN
- Registered Dietitian
- Lexington, MA
National Provider Identifier
1740617596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3389
- Practice address
- 33 Bedford St
Sutie 20
Lexington, MA 02420-4319 - Phone
- (781) 674-1189
- NPI assigned
- Oct 10, 2013
- 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 | 3389 | MA | Primary |
Addresses
Primary practice location
33 Bedford St
Sutie 20
Lexington, MA 02420-4319
Mailing address
33 Bedford St
Sutie 20
Lexington, MA 02420-4319
Phone (781) 674-1189
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
565 Turnpike St
Suite 64
North Andover, MA 01845-5936
Phone 97847444780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3389 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Factory, LLC | Dietitian, Registered | Current | Accepting new patients |
| Hillary Mamis Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
68 Main St
Ste 3
Andover, MA 01810
Phone (978) 474-4478
565 Turnpike St
Ste 64
North Andover, MA 01845
Phone (978) 474-4478
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": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1740617596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BEDFORD ST",
"address_2": "SUTIE 20",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204319",
"telephone_number": "781-674-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BEDFORD ST",
"address_2": "SUTIE 20",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204319",
"telephone_number": "781-674-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMIS",
"first_name": "HILLARY",
"middle_name": "MONROE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.