Individual provider Active NPI

Denise Marmillion, RD, LDN

  • Registered Dietitian
  • Newton Center, MA
National Provider Identifier
1770049678
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4417 Issued in MA
Practice address
1320 Centre St Ste 402
Newton Center, MA 02459-2400
Phone
(617) 431-6605
Fax
(617) 483-6204
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4417 MA Primary

Addresses

Primary practice location

1320 Centre St Ste 402
Newton Center, MA 02459-2400

Mailing address

9 Battery St Apt 10
Boston, MA 02109-1048
Phone (347) 409-2038

Other practice location 1

150 Grossman Dr # 404
Braintree, MA 02184-4952
Phone (617) 544-7383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4417MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Body, Kind Mind LLC Dietitian, Registered CurrentSince Jun 15, 2025 Accepting new patients
Meredith S Berger RDN Nutrition Counseling LLC Dietitian, Registered CurrentSince Mar 1, 2021 Accepting new patients

Locations

1320 Centre St
Ste 402
Newton Center, MA 02459
Phone (617) 431-6605

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1770049678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BATTERY ST APT 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091048",
            "telephone_number": "347-409-2038",
            "fax_number": "617-483-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRE ST STE 402",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592400",
            "telephone_number": "617-431-6605",
            "fax_number": "617-483-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Grossman Dr # 404",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021844952",
            "country_code": "US",
            "telephone_number": "617-544-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARMILLION",
        "first_name": "DENISE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.