Individual provider Active NPI

Morgan Mazzone, RDN, LDN

  • Registered Dietitian
  • Amherst, MA
National Provider Identifier
1962057992
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4819-NU-NU Issued in MA
Practice address
25 Pray St
Amherst, MA 01002-2110
Phone
(917) 626-1027
Fax
(413) 707-1027
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4819-NU-NU MA Primary

Addresses

Primary practice location

25 Pray St
Amherst, MA 01002-2110

Mailing address

602 Fairway Ave
Turners Falls, MA 01376-2312

Other practice location 1

602 Fairway Ave
Turners Falls, MA 01376-2312
Phone (508) 455-8796

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

LicenseStateTypeSpecialty
4819-NU-NUMAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1962057992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FAIRWAY AVE",
            "city": "TURNERS FALLS",
            "state": "MA",
            "postal_code": "013762312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PRAY ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022110",
            "telephone_number": "917-626-1027",
            "fax_number": "413-707-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Fairway Ave",
            "address_purpose": "LOCATION",
            "city": "Turners Falls",
            "state": "MA",
            "postal_code": "013762312",
            "country_code": "US",
            "telephone_number": "508-455-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZONE",
        "first_name": "MORGAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4819-NU-NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.