Active NPI
Heidi Davidson, M.S., R.D., L.D.N.
- Registered Dietitian
- Lexington, MA
National Provider Identifier
1932435096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1293
- Practice address
- 33 Bedford St
Suite 20
Lexington, MA 02420-4319 - Phone
- (617) 877-2202
- NPI assigned
- Oct 26, 2009
- 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 | 1293 | MA | Primary |
Addresses
Primary practice location
33 Bedford St
Suite 20
Lexington, MA 02420-4319
Mailing address
3 Selkirk Rd
Arlington, MA 02476-5629
Phone (617) 877-2202
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1293 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1932435096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SELKIRK RD",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765629",
"telephone_number": "617-877-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BEDFORD ST",
"address_2": "SUITE 20",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204319",
"telephone_number": "617-877-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "HEIDI",
"credential": "M.S., R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.