Active NPI
Stephanie Haber, RD LDN
- Registered Dietitian
- Lexington, MA
National Provider Identifier
1780219824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4890
- Practice address
- 405 Waltham St # 317
Lexington, MA 02421-7934 - Phone
- (617) 396-7349
- Fax
- (877) 412-9067
- NPI assigned
- Mar 9, 2020
- Last updated
- Jul 5, 2025
- 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 | 4890 | MA | Primary |
Addresses
Primary practice location
405 Waltham St # 317
Lexington, MA 02421-7934
Mailing address
405 Waltham St # 317
Lexington, MA 02421-7934
Phone (617) 396-7349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4890 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
405 Waltham St
Lexington, MA 02421
Phone (617) 396-7349
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751673600000",
"number": "1780219824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 WALTHAM ST # 317",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217934",
"telephone_number": "617-396-7349",
"fax_number": "877-412-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 WALTHAM ST # 317",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217934",
"telephone_number": "617-396-7349",
"fax_number": "877-412-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "STEPHANIE",
"credential": "RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2025-07-05",
"certification_date": "2025-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.