Individual provider Active NPI

Kelsey Kalenderian, RDN, LDN

  • Registered Dietitian
  • Needham, MA
National Provider Identifier
1891290367
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4466 Issued in MA
Practice address
163 Highland Ave # 1011
Needham, MA 02494-3025
Phone
(508) 733-2334
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 4466 MA Primary

Addresses

Primary practice location

163 Highland Ave # 1011
Needham, MA 02494-3025

Mailing address

163 Highland Ave # 1011
Needham, MA 02494-3025
Phone (508) 733-2334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622000286 MA Practitioner - Registered Dietitian Or Nutrition Professional 6901151562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4466MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center, Inc. CurrentSince May 15, 2018 Accepting new patients
Tufts Medical Center, Inc. CurrentSince May 15, 2018 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

860 Washington St
Boston, MA 02111
Phone (617) 636-2273

800 Washington St
#900
Boston, MA 02111
Phone (617) 636-0158

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

Organizations & group practices 3

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1891290367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1011",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "508-733-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1011",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "508-733-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENDERIAN",
        "first_name": "KELSEY",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4466",
            "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 Apr 24, 2024; 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.