Theresa Marie Manegre, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2529 Issued in MA

Practice address

680 Centre St
Brockton, MA 02302-3308

Phone

(508) 941-7000

Fax

(508) 941-6337

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Theresa Marie Zeogas II Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1841491909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEGRE",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ZEOGAS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "suffix": "II",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mandy Anne Malone, M.S.W
• Stephen P Maloney, MD
• Stephen Vincent Maloney, LICSW
• Scott Joseph Mandel, MD
• Jacob Mandell, MD
• Lisa M Manera, M.D.
• Shannon Maney, PSY.D., ABPP
• Dominique Manigat-Estimphile
• Phernel Manigat
• Surjit S Maniktala, MD

• Registered Dietitian in Brockton, MA
• Providers in Brockton, 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 18, 2015; 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.