NPIMap

Organization Active NPI

Joy McCallum, Ms, RDN, LDN, CLT

  • Registered Dietitian
  • Lexington, MA
National Provider Identifier
1952847600
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NU 209 Issued in MA
Legal business name
JOY MCCALLUM, MS, RDN, LDN, CLT
Practice address
22 Fairbanks Rd
Lexington, MA 02421-7729
Phone
(781) 861-0762
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Joy McCallum, RDNPI 1528650058
Title
Registered Dietitian
Phone
(781) 861-0762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X NU 209 MA Primary

Addresses

Primary practice location

22 Fairbanks Rd
Lexington, MA 02421-7729

Mailing address

22 Fairbanks Rd
Lexington, MA 02421-7729
Phone (781) 861-0762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1952847600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FAIRBANKS RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217729",
            "telephone_number": "781-861-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FAIRBANKS RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217729",
            "telephone_number": "781-861-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY MCCALLUM, MS, RDN, LDN, CLT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "781-861-0762",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "NU 209",
            "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 Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.