Active NPI
Grace Mooshian, MS RD LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1780494872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN7035
- Practice address
- 732 Harrison Ave
Boston, MA 02118-2309 - Phone
- (617) 414-8229
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 | LDN7035 | MA | Primary |
Addresses
Primary practice location
732 Harrison Ave
Boston, MA 02118-2309
Mailing address
38 Maple St # 2
West Roxbury, MA 02132-1826
Phone (508) 450-7224
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN7035 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1780494872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 MAPLE ST # 2",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321826",
"telephone_number": "508-450-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182309",
"telephone_number": "617-414-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSHIAN",
"first_name": "GRACE",
"credential": "MS RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN7035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.