Active NPI
Karen S Dipietro, RD, CDE
- Registered Dietitian
- Haverhill, MA
National Provider Identifier
1871672063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN1777
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDN1777 | Other | MA | STATE LICENSURE |
| 70010000LD0157 | Other | MA | BLUE CROSS BLUE SHIELD |
| 22 | Other | NH | LICENSED DIETITIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LDN1777 | MA | MD | Registered Dietitian |
| 1777 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen M Byron | Dietitian, Registered | Current | 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.