Organization Active NPI

Shanti Nutrition LLC

  • Registered Dietitian
  • Somerville, MA
National Provider Identifier
1992203483
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SHANTI NUTRITION LLC
Practice address
8 Edgar CT Unit 2
Somerville, MA 02145-1409
Phone
(774) 722-2152
Fax
(833) 232-0836
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Alexis Penney, RD, LDN
Title
Owner
Phone
(774) 722-2152

Specialties & licenses 1

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

Addresses

Primary practice location

8 Edgar CT Unit 2
Somerville, MA 02145-1409

Mailing address

8 Edgar CT Unit 2
Somerville, MA 02145-1409
Phone (774) 722-2152

Other practice location 1

581 Boylston St Ste 201H
Boston, MA 02116-3698
Phone (774) 722-2152

National Provider Directory

National Provider Directory

Locations

581 Boylston St
Ste 201H
Boston, MA 02116
Phone (774) 722-2152

2135 State Hwy
Eastham, MA 02642
Phone (774) 722-2152

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1992203483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EDGAR CT UNIT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451409",
            "telephone_number": "774-722-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EDGAR CT UNIT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451409",
            "telephone_number": "774-722-2152",
            "fax_number": "833-232-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 Boylston St Ste 201H",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163698",
            "country_code": "US",
            "telephone_number": "774-722-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANTI NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-722-2152",
        "authorized_official_credential": "RD, 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 Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.