Individual provider Active NPI

Beth Kitzis, RDN

  • Registered Dietitian
  • Newton, MA
National Provider Identifier
1821869058
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN4454 Issued in MA
Practice address
82 Oakdale Rd
Newton, MA 02459-2627
Phone
(617) 803-1925
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 LDN4454 MA Primary

Addresses

Primary practice location

82 Oakdale Rd
Newton, MA 02459-2627

Mailing address

82 Oakdale Rd
Newton, MA 02459-2627
Phone (617) 803-1925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215000114 MA Practitioner - Registered Dietitian Or Nutrition Professional 4587008834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lori Lieberman and Associates LLCGroup PAC ID 9436186988, 4 clinicians
Alisonrd LLCGroup PAC ID 6901163369, 3 clinicians

Practice addresses (Care Compare)

111 Willard St
Suite 2F
Quincy, MA 02169-1274
Phone (781) 335-7559

3 Allied Dr
Suite 303
Dedham, MA 02026-6148
Phone (617) 645-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Lieberman & Associates LLC Dietitian, Registered CurrentSince Feb 1, 2024 Accepting new patients
Alisonrd LLC CurrentSince Aug 1, 2025 Accepting new patients
Doctors Foot Care Group PastSince Feb 1, 2024 Accepting new patients

Locations

3 Allied Dr
Ste 303
Dedham, MA 02026
Phone (617) 645-4819

111 Willard St
Ste 2F
Quincy, MA 02169
Phone (617) 773-2313

6 Washington Pl
Sharon, MA 02067
Phone (781) 335-7559

Organizations & group practices 3

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821869058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 OAKDALE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592627",
            "telephone_number": "617-803-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 OAKDALE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592627",
            "telephone_number": "617-803-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZIS",
        "first_name": "BETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.