Active NPI
Enjely Mora, MS. RD, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1891394870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5195-NU-NU
- Practice address
- 867 Boylston St Ste 1677
Boston, MA 02116-2774 - Phone
- (781) 588-6522
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 5195-NU-NU | MA | Primary |
Addresses
Primary practice location
867 Boylston St Ste 1677
Boston, MA 02116-2774
Mailing address
156 Morgan Dr
Haverhill, MA 01832-1295
Phone (781) 588-6522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5195-NU-NU | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enriched Mind and Body, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
867 Boylston St
Ste 1677
Boston, MA 02116
Phone (781) 588-6522
Organizations & group practices 2
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": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1891394870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MORGAN DR",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018321295",
"telephone_number": "781-588-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 BOYLSTON ST STE 1677",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162774",
"telephone_number": "781-588-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "ENJELY",
"name_prefix": "Mrs.",
"credential": "MS. RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5195-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.