Individual provider Active NPI

Karen S Dipietro, RD, CDE

  • Registered Dietitian
  • Haverhill, MA
National Provider Identifier
1871672063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN1777 Issued in MA
Practice address
215 Summer St
Suite 8
Haverhill, MA 01830-6320
Phone
(978) 373-6809
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LDN1777 MA Primary

Addresses

Primary practice location

215 Summer St
Suite 8
Haverhill, MA 01830-6320

Mailing address

18 Brickett Ave
Haverhill, MA 01830-6504
Phone (978) 374-2050

Other identifiers 3

IdentifierTypeStateIssuer
LDN1777OtherMASTATE LICENSURE
70010000LD0157OtherMABLUE CROSS BLUE SHIELD
22OtherNHLICENSED DIETITIAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000165 MA Practitioner - Registered Dietitian Or Nutrition Professional 2062440019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellen M ByronGroup PAC ID 8921176025, 2 clinicians

Practice addresses (Care Compare)

215 Summer St
Suite 8
Haverhill, MA 01830-6305
Phone (978) 373-6809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN1777MAMDRegistered Dietitian
1777MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen M Byron Dietitian, Registered CurrentSince May 12, 2011 Accepting new patients

Locations

215 Summer St
Ste 8
Haverhill, MA 01830
Phone (978) 373-6809

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871672063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BRICKETT AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306504",
            "telephone_number": "978-374-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUMMER ST",
            "address_2": "SUITE 8",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306320",
            "telephone_number": "978-373-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIETRO",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN1777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LDN1777",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000LD0157",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN",
            "identifier": "22",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.