Active NPI
Kailey Grace Donovan, RD
- Registered Dietitian
- Westwood, MA
National Provider Identifier
1861907800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4341
- Practice address
- 130 University Ave Unit 1302
Westwood, MA 02090-2192 - Phone
- (978) 500-0483
- NPI assigned
- Dec 13, 2017
- 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 | 4341 | MA | Primary |
Addresses
Primary practice location
130 University Ave Unit 1302
Westwood, MA 02090-2192
Mailing address
130 University Ave Unit 1302
Westwood, MA 02090-2192
Phone (978) 500-0483
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Racquetball Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1861907800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 UNIVERSITY AVE UNIT 1302",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902192",
"telephone_number": "978-500-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 UNIVERSITY AVE UNIT 1302",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902192",
"telephone_number": "978-500-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "KAILEY",
"middle_name": "GRACE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.