Active NPI
Denise Marmillion, RD, LDN
- Registered Dietitian
- Newton Center, MA
National Provider Identifier
1770049678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4417
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4417 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kind Body, Kind Mind LLC | Dietitian, Registered | Current | Accepting new patients |
| Meredith S Berger RDN Nutrition Counseling LLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Newton Center, MA
- NPI 1265994495
Dietitian, Registered
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.