Matt Priven, Rd, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MATT PRIVEN, RD, LLC

Practice address

18 Highland Ave
Newburyport, MA 01950-3883

Phone

(857) 302-3060

Fax

(877) 778-9196

NPI assigned

Sep 22, 2016

Last updated

Feb 20, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matt Priven

Title

Rd

Phone

(857) 302-3060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew C Priven, RD, LDN

  • Registered Dietitian
  • Newburyport, MA
  • NPI 1255886479

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Kelsey Sousa, RD

  • Registered Dietitian
  • Valhalla, NY
  • NPI 1558938647

  Dietitian, Registered, MA

  Medicare reassignment Care Compare group NPD
• Hannah Wolf, RD

  • Registered Dietitian
  • Billings, MT
  • NPI 1467925271

  Dietitian, Registered, MA

  Medicare reassignment NPD
• Jennifer Baum, MS, RD, LDN

  • Registered Dietitian
  • Newburyport, MA
  • NPI 1932650967

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1912456633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ISLAND HILL AVE UNIT 211",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766154",
            "telephone_number": "857-302-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503883",
            "telephone_number": "857-302-3060",
            "fax_number": "877-778-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Atlantic Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022102241",
            "country_code": "US",
            "telephone_number": "857-302-3060",
            "fax_number": "877-778-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATT PRIVEN, RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "PRIVEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "857-302-3060"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Markuns, M.D.
• Lorrie Mae Marx Adams, MSW LCSW
• David A Massey, APRN BC
• Christine Lyn Paradise Mastrangelo, RDN
• Katy Elizabeth Matos, NP
• Brett Joseph Matthews, D.O.
• Stephanie Mayo
• Ashley Mary McCarter, AU.D.
• Sarah Fallon McCartney
• Michael Brian McCracken, DC

• Registered Dietitian in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.