Active NPI
Nourished Rd, LLC
- Registered Dietitian
- Boston, MA
National Provider Identifier
1760151898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NOURISHED RD, LLC
- Practice address
- 399 Boylston St Ste 900
Boston, MA 02116-3305 - Phone
- (617) 383-7137
- NPI assigned
- Sep 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Suzanne Bokat, MS, RD, LDN, CEDRD
- Title
- Owner, Operator
- Phone
- (240) 687-1703
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
399 Boylston St Ste 900
Boston, MA 02116-3305
Mailing address
500 Ocean Ave Unit 655
Revere, MA 02151-1445
Phone (240) 687-1703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://secure.gethealthie.com/ | Direct |
National Provider Directory
National Provider DirectoryLocations
399 Boylston St
Ste 900
Boston, MA 02116
Phone (617) 207-4073
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Revere, MA
- NPI 1194180778
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631318400000",
"number": "1760151898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OCEAN AVE UNIT 655",
"city": "REVERE",
"state": "MA",
"postal_code": "021511445",
"telephone_number": "240-687-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 BOYLSTON ST STE 900",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163305",
"telephone_number": "617-383-7137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISHED RD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-11",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A",
"authorized_official_last_name": "BOKAT",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "OWNER, OPERATOR",
"authorized_official_telephone_number": "240-687-1703",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, RD, LDN, CEDRD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://secure.gethealthie.com/",
"affiliation": "N",
"endpointDescription": "Healthie Portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 Ocean Ave Unit 655",
"city": "Revere",
"state": "MA",
"country_code": "US",
"postal_code": "021511445",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.