Active NPI
Deborah Ann Sisson, MS. RDN
- Registered Dietitian
- West Roxbury, MA
National Provider Identifier
1790674166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN923
- Practice address
- 16 Burrwood Rd
West Roxbury, MA 02132-7809 - Phone
- (617) 480-2840
- NPI assigned
- Jul 1, 2025
- Sex
- Unspecified or another gender identity
- 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 | LDN923 | MA | Primary |
Addresses
Primary practice location
16 Burrwood Rd
West Roxbury, MA 02132-7809
Mailing address
16 Burrwood Rd
West Roxbury, MA 02132-7809
Phone (617) 480-2840
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN923 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1790674166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BURRWOOD RD",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021327809",
"telephone_number": "617-480-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BURRWOOD RD",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021327809",
"telephone_number": "617-480-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISSON",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "MS. RDN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.