Individual provider Active NPI

Deborah Krivitsky, MS,RD,LDN

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1851827612
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
595813 Issued in MA
Practice address
25 New Chardon St
Suite 301
Boston, MA 02114-4774
Phone
(617) 726-1907
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 595813 MA Primary

Addresses

Primary practice location

25 New Chardon St
Suite 301
Boston, MA 02114-4774

Mailing address

25 New Chardon St
Suite 301
Boston, MA 02114-4774
Phone (617) 726-1907

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
595813MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1851827612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "address_2": "SUITE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-726-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "address_2": "SUITE 301",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-726-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVITSKY",
        "first_name": "DEBORAH",
        "credential": "MS,RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "595813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.