Individual provider Active NPI

Patricia Rais-Keeley, R.D., L.D.N

  • Registered Dietitian
  • Needham Heights, MA
National Provider Identifier
1801226857
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
292 Issued in MA
Practice address
220-1 Reservoir Street
Needham Heights, MA 02494
Phone
(617) 365-8257
Fax
(781) 444-0079
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 292 MA Primary

Addresses

Primary practice location

220-1 Reservoir Street
Needham Heights, MA 02494

Mailing address

14 James Ave
Needham, MA 02494-1520
Phone (617) 365-8257

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

LicenseStateTypeSpecialty
292MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patty Rais-Keeley Rd, LDN, Cde, LLC 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": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1801226857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JAMES AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941520",
            "telephone_number": "617-365-8257",
            "fax_number": "781-444-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220-1 RESERVOIR STREET",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "02494",
            "telephone_number": "617-365-8257",
            "fax_number": "781-444-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIS-KEELEY",
        "first_name": "PATRICIA",
        "credential": "R.D., L.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham Heights, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.