Organization Active NPI

Diabetes Reimagined

  • Nutritionist
  • West Bridgewater, MA
National Provider Identifier
1871108431
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
DIABETES REIMAGINED
Practice address
131 West St
West Bridgewater, MA 02379-1436
Phone
(508) 333-6673
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Ms. Ann Phyllis Feldman, MS, RD, CDCENPI 1457324386
Title
Nutrition and Diabetes Educator
Phone
(339) 987-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

131 West St
West Bridgewater, MA 02379-1436

Mailing address

131 West St
West Bridgewater, MA 02379-1436
Phone (508) 333-6673

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1871108431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WEST ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791436",
            "telephone_number": "508-333-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WEST ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791436",
            "telephone_number": "508-333-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES REIMAGINED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "NUTRITION AND DIABETES EDUCATOR",
        "authorized_official_telephone_number": "339-987-8020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, CDCE"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.