Individual provider Active NPI

Nicole Farnsworth, RD, LDN

  • Registered Dietitian
  • Needham, MA
National Provider Identifier
1861982969
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4400 Issued in MA
Practice address
1492 Highland Ave Ste 4
Needham, MA 02492-2606
Phone
(781) 343-1496
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 4400 MA Primary

Addresses

Primary practice location

1492 Highland Ave Ste 4
Needham, MA 02492-2606

Mailing address

2 Beverly Rd
Arlington, MA 02474-1212
Phone (408) 914-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001674 MA Practitioner - Registered Dietitian Or Nutrition Professional 7810246204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WHSP Medical PC Dietitian, Registered CurrentSince Aug 1, 2025 Accepting new patients

Locations

20 Guest St
Ste 200
Brighton, MA 02135
Phone (617) 362-6450

Interoperability endpoints

  • Direct secure messaging: nicole.farnsworth.1@33525.direct.athenahealth.com

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1861982969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEVERLY RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741212",
            "telephone_number": "408-914-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 4",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922606",
            "telephone_number": "781-343-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "NICOLE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.