Organization Active NPI

Nutrition for Healing. LLC

  • Registered Dietitian
  • Braintree, MA
National Provider Identifier
1801668876
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION FOR HEALING. LLC
Practice address
501 John Mahar Hwy, Suite #300
Braintree, MA 02184
Phone
(617) 291-3824
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Mercy Devadoss, MS, RD, LDN, CDCESNPI 1487909362
Title
President/Owner
Phone
(617) 291-3824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

501 John Mahar Hwy, Suite #300
Braintree, MA 02184

Mailing address

P.O. Box 334
Weymouth, MA 02188-0002
Phone (617) 291-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319001840 MA Part B Supplier - Clinic/Group Practice 4789021312 Receives reassigned benefits from 1 practitioner
Practice locations: Braintree, MA

National Provider Directory

National Provider Directory

Locations

501 John Mahar Hwy
Ste 300
Braintree, MA 02184
Phone (617) 291-3824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1801668876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 334",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021880002",
            "telephone_number": "617-291-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JOHN MAHAR HWY, SUITE #300",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "617-291-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION FOR HEALING. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "DEVADOSS",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-291-3824",
        "authorized_official_credential": "MS, RD, LDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.