South Shore Family Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOUTH SHORE FAMILY NUTRITION LLC

Practice address

128 Lamberts LN
Cohasset, MA 02025-1216

Phone

(508) 591-3168

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jill M Nelligan, MS RD LDNNPI 1124427919

Title

Owner and Registered Dietitian

Phone

(508) 591-3168

Specialties & licenses 1

Addresses

Other names 1

• South Shore Family Nutrition LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Nelligan, RD, LDN

  • Registered Dietitian
  • Cohasset, MA
  • NPI 1124427919

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1801650825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1033 729 BRIDGE ST STE 1",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02191",
            "telephone_number": "508-591-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAMBERTS LN",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251216",
            "telephone_number": "508-591-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE FAMILY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "NELLIGAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "508-591-3168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Family Nutrition LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicola Joy Smith Khanna, M.D.
• Allison Smith
• Courtney Wasson Smith, NP
• Youngjoo Song
• Danielle Ann Sousa
• Summit Counseling Center
• Donna L Tapper, RPH
• Ellen Tarpey, OTR/L
• Thomas Dental Assoc (Dba Cohasset Dental)
• Thomas Dental Associates Dba Cohasset Dental

• Registered Dietitian in Cohasset, MA
• Providers in Cohasset, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.