Active NPI
Bethany Marie Nelson, RD, LDN
- Registered Dietitian
- Leominster, MA
National Provider Identifier
1831692524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 50 Memorial Dr Ste 113
Leominster, MA 01453-2238 - Phone
- (978) 166-4580
- NPI assigned
- Mar 9, 2018
- 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 | Primary |
Addresses
Primary practice location
50 Memorial Dr Ste 113
Leominster, MA 01453-2238
Mailing address
50 Memorial Dr Ste 113
Leominster, MA 01453-2238
Phone (978) 466-4580
Other names 1
- Bethany Marie Shippee
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1831692524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR STE 113",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-466-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR STE 113",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-166-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BETHANY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "SHIPPEE",
"middle_name": "MARIE",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.