Organization Active NPI

Devon Haines

  • Registered Dietitian
  • Watertown, MA
National Provider Identifier
1780112763
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DEVON HAINES
Practice address
23 Main St FL 2
Watertown, MA 02472-4403
Phone
(508) 409-8456
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Devon HainesNPI 1689657140
Title
Owner/Dietitian
Phone
(508) 409-8456

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 DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

23 Main St FL 2
Watertown, MA 02472-4403

Mailing address

23 Canoe River Dr
Mansfield, MA 02048-2928

National Provider Directory

National Provider Directory

Locations

23 Main St
Ste 2
Watertown, MA 02472
Phone (508) 409-8456

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1780112763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANOE RIVER DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST FL 2",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724403",
            "telephone_number": "508-409-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON HAINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "508-409-8456"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.