Organization Active NPI

Nutrition by Elissa LLC

  • Registered Dietitian
  • Arlington, MA
National Provider Identifier
1770059917
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Elissa Goldman, RDNPI 1770060832
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.