Greater Boston Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GREATER BOSTON NUTRITION LLC

Practice address

95 Waltham St Apt 3
Watertown, MA 02472-4815

Phone

(617) 564-0140

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Erin Angelillo, RD, LDNNPI 1588315287

Title

Owner and Provider

Phone

(617) 564-0140

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erin Angelillo, RD, LDN

  • Registered Dietitian
  • Boston, MA
  • NPI 1588315287

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1750140810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WALTHAM ST APT 3",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724815",
            "telephone_number": "617-564-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WALTHAM ST APT 3",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724815",
            "telephone_number": "617-564-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ANGELILLO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "617-564-0140",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Goodrich, OTRL
• Thomas H Gorman, DC
• Robin A Grace, MS, OTR/L
• Hilary Graham, LMHC
• Juan Jose Graham, DMD
• Kimberly Grebert, LICSW
• Jeffrey O Greenberg, M.D.
• Malcolm Richard Greene, O.D.
• Martin J Greene, OD
• Wendy B Greenhalgh, BCBA

• Registered Dietitian in Watertown, MA
• Providers in Watertown, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.