Active NPI
Eunjee Ahn, RDN
- Registered Dietitian
- Somerville, MA
National Provider Identifier
1902276868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NU3792
- Practice address
- 208 Cedar St
2
Somerville, MA 02145-3521 - Phone
- (413) 230-4222
- NPI assigned
- Oct 4, 2015
- Last updated
- Oct 4, 2015
- 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 | NU3792 | MA | Primary |
Addresses
Primary practice location
208 Cedar St
2
Somerville, MA 02145-3521
Mailing address
208 Cedar St
2
Somerville, MA 02145-3521
Phone (413) 230-4222
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU3792 | MA | MD | Registered Dietitian |
| 3792 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1902276868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CEDAR ST",
"address_2": "2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021453521",
"telephone_number": "413-230-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CEDAR ST",
"address_2": "2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021453521",
"telephone_number": "413-230-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "EUNJEE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-04",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "NU3792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.