Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa M Moutafis, RD, LDN, CDE, IBCLC

Individual provider Registered Dietitian · NPI 1588954622

Theresa M Moutafis, RD, LDN, CDE, IBCLC is a Registered Dietitian in Salem, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

62 Appleton St
Salem, MA 01970-1630
Phone: (315) 730-1858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 000003134 (MA)
Registered Dietitian Taxonomy 133V00000X · Licence 1009944
Registered Dietitian Taxonomy 133V00000X (NY)

Record details

NPI number1588954622
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN , CDE , IBCLC
Sole proprietorYes
NPI enumeratedApril 11, 2011
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

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