Active NPI
Heather Lavery, MS, RDN, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1750907267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5085-NU-NU
- Practice address
- 665 Boylston St Ste 3
Boston, MA 02116-4825 - Phone
- (203) 610-4928
- Fax
- (857) 350-3251
- NPI assigned
- Jun 20, 2020
- 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 | 5085-NU-NU | MA | Primary |
Addresses
Primary practice location
665 Boylston St Ste 3
Boston, MA 02116-4825
Mailing address
665 Boylston St Ste 3
Boston, MA 02116-4825
Phone (203) 610-4928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 12, 2025 through Aug 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5085-NU-NU | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrowest Nutrition and Therapy | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1750907267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 BOYLSTON ST STE 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164825",
"telephone_number": "203-610-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 BOYLSTON ST STE 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164825",
"telephone_number": "203-610-4928",
"fax_number": "857-350-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERY",
"first_name": "HEATHER",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5085-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.