NPIMap

Organization Active NPI

Hillary Mamis Nutrition

  • Registered Dietitian
  • Andover, MA
National Provider Identifier
1962284943
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HILLARY MAMIS NUTRITION
Practice address
10 Blackberry LN
Andover, MA 01810-4861
Phone
(202) 441-5712
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Hillary Mamis, MS, RDN, LDNNPI 1740617596
Title
Owner
Phone
(202) 441-5712

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 Primary

Addresses

Primary practice location

10 Blackberry LN
Andover, MA 01810-4861

Mailing address

10 Blackberry LN
Andover, MA 01810-4861
Phone (202) 441-5712

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1962284943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLACKBERRY LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104861",
            "telephone_number": "202-441-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BLACKBERRY LN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104861",
            "telephone_number": "202-441-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLARY MAMIS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MAMIS",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-441-5712",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.