Active NPI
Meredith Leigh Pellenz, RD
- Registered Dietitian
- Tewksbury, MA
National Provider Identifier
1801189964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 440850
- Practice address
- 365 East St
Tewksbury, MA 01876-1950 - Phone
- (978) 851-7321
- NPI assigned
- May 24, 2011
- 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 | 440850 | MA | Primary |
Addresses
Primary practice location
365 East St
Tewksbury, MA 01876-1950
Mailing address
33 Park LN
Hooksett, NH 03106-2140
Phone (603) 540-0270
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 |
|---|---|---|---|
| 440850 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1801189964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PARK LN",
"city": "HOOKSETT",
"state": "NH",
"postal_code": "031062140",
"telephone_number": "603-540-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 EAST ST",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761950",
"telephone_number": "978-851-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLENZ",
"first_name": "MEREDITH",
"middle_name": "LEIGH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "440850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.