Active NPI
Nutrition by Elissa LLC
- Registered Dietitian
- Arlington, MA
National Provider Identifier
1770059917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION BY ELISSA LLC
- Practice address
- 7 Central St Ste 207
Arlington, MA 02476-4816 - Phone
- (857) 529-7548
- NPI assigned
- Oct 15, 2018
- Last updated
- Oct 22, 2020
- 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
- Elissa Goldman, RD
- Title
- Registered Dietitian and Owner
- Phone
- (857) 529-7548
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 | NU | Primary |
Addresses
Primary practice location
7 Central St Ste 207
Arlington, MA 02476-4816
Mailing address
7 Central St Ste 207
Arlington, MA 02476-4816
National Provider Directory
National Provider DirectoryLocations
7 Central St
Ste 207
Arlington, MA 02476
Phone (781) 641-3664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603324800000",
"number": "1770059917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CENTRAL ST STE 207",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CENTRAL ST STE 207",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764816",
"telephone_number": "857-529-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION BY ELISSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-15",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "ELISSA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN AND OWNER",
"authorized_official_telephone_number": "857-529-7548",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.