Ismini Soteropoulos, MS, RD, LDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Practice address

39 Belleview Ave
Salem, MA 01970-1165

Phone

(978) 335-9719

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Diets by Ismini, LLC

  • Registered Dietitian
  • Danvers, MA
  • NPI 1265261556

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1851640486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BELLEVIEW AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701165",
            "telephone_number": "978-335-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BELLEVIEW AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701165",
            "telephone_number": "978-335-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTEROPOULOS",
        "first_name": "ISMINI",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3081",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Hope Soo, PA-C
• Megha Sood, MD
• Charles P Sorrentino, PHD
• Susan A Sorrentino, PHD
• Daniel Sosa, MD
• Johanna Maria Soto Gonzalez, LICSW
• Santia Soto
• Sound Choice Inc
• Ann Sousa
• Julie Marie Sousa, MA

• Obesity and Weight Management Nutrition Registered Dietitian in Salem, MA
• Providers in Salem, MA by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.