Active NPI
Nicole L Myers, RD
- Registered Dietitian
- Amherst, MA
National Provider Identifier
1881976884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2910
- Practice address
- 25 Pray St
Amherst, MA 01002-2110 - Phone
- (917) 626-1027
- Fax
- (413) 707-1027
- NPI assigned
- Sep 15, 2011
- Last updated
- Jul 24, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 998049 | VT | |
| Registered Dietitian | 133V00000X | 998049 | NC | |
| Registered Dietitian | 133V00000X | L004854 | NC | |
| Registered Dietitian | 133V00000X | 2910 | MA | Primary |
Addresses
Primary practice location
25 Pray St
Amherst, MA 01002-2110
Mailing address
3 Phillips PL
Hadley, MA 01035-3515
Phone (917) 626-1027
Other practice location 1
7909 Shadow Oaks Dr Apt 935
Charlotte, NC 28269-4393
Phone (802) 355-2238
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
- University of Vermont College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Pray St
Suite 101
Amherst, MA 01002-2110
Phone (203) 828-0028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998049 | NC | MD | Registered Dietitian |
| L004854 | NC | MD | Registered Dietitian |
| 998049 | VT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Valley Nutrition PC | Dietitian, Registered | Current | Accepting new patients |
Locations
25 Pray St
Ste 101
Amherst, MA 01002
Phone (203) 828-0028
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1881976884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PHILLIPS PL",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353515",
"telephone_number": "917-626-1027",
"fax_number": "413-707-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PRAY ST",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022110",
"telephone_number": "917-626-1027",
"fax_number": "413-707-1027"
}
],
"practiceLocations": [
{
"address_1": "7909 Shadow Oaks Dr Apt 935",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282694393",
"country_code": "US",
"telephone_number": "802-355-2238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "998049",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "998049",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004854",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.