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Meet the Dietitians



Nicole is the owner and founder of Pyramid Nutrition Services, Inc, started September, 2000.  After spending a little over a year working as a Corporate Dietitian at the beginning of her career, traveling everywhere from New Jersey to California, spending most of her time away from her family, Nicole started looking for a better alternative.  Pyramid Nutrition Services has grown from a staff of one to a team of Dietitians that provide both individual nutrition counseling as well as Consultant Dietitian services to long-term care, assisted living, rest homes and adult day health centers.

Nicole enjoys being a Registered Dietitian because she wants to help make a difference in the lives of people through health, wellness, and prevention. She believes that every small change in behavior or habit makes a big difference in enhancing one's life. Her areas of interest and specialties are nutrition wellness, weight management, bariatric counseling, diabetes, kidney disease, IBS and cardiac disease. She is a FODMAP certified provider through Monash University as of 2019. 

Nicole received her Bachelor of Science in Biology and Chemistry with a Psychology minor from Western New England College, her Bachelor of Science in Nutrition and Dietetics from Life University graduating Magna Cum Laude and completed her dietetic internship at Southern Regional Medical Center in Riverdale, Georgia. 


Outside of the office, Nicole enjoys spending time with family and friends, travel, biking, and baseball!



Karoline is passionate about nutrition and wellness and is driven to make an impact in the lives of her clients. Her passion motivates clients to make sustainable and healthy lifestyle changes. People find she is easy to talk to and she listens with compassion. Karoline is an advocate for real food, and strongly believes in the healing power of food.

Karoline earned her Bachelor of Science degree in Food and Nutrition from Framingham State University. She completed her dietetic internship through Priority Nutrition Care. She has worked and interned in a variety of settings giving her diverse background of experiences including outpatient nutrition counseling for cardiac, diabetes, and GI patients at the UMass Center for Applied Nutrition. She worked with families at USDA’s Women Infants and Children (WIC) nutrition program and Head Start and with Veteran’s at the Chelsea Soldiers’ Home.

She has a special passion for helping clients with GI issues. Karoline is also a certified 200 hour Yoga Teacher, which combines her love for the mindful practice with her desire to improve the physical and emotional health of others. In her spare time, Karoline enjoys spending time cooking, hiking, practicing yoga, and spending time with her two pet goats!


Sandy Lemanski, RDN, LDN, CDCES

Sandy Lemanski, RDN, LDN, CDE- Sandy believes healthy eating should be easy and delicious. Sandy always says “I love my job” to which her patients reply, “and we love you”. She is our “researcher” because she is always on the lookout for new nutrition information, ideas, products and recipes for her clients.
Sandy graduated from Framingham State College with a Bachelor's degree in Nutrition. As a Certified Insulin Pump Trainer for Medtronic, she has special expertise for diabetic patients. Before joining Pyramid Nutrition Services, Sandy worked with Nancy Dell & Associates, Duke University Medical Center in North Carolina and St Vincent Medical Center in Worcester, Massachusetts. In addition, she provided nutrition education for participates in the Women’s Health Initiative Intervention Study. You will often see the results of this study quoted on the news.

Sandy enjoys running, hiking and traveling.


Andrea Reyes, RDN, LDN

Andrea has a wonderful relationships with her patients. Her faithful following is always growing as they tell their friends and family members, “Go see Andrea. She helped me and can help you too!" She already counsels entire families. Prior to working for Pyramid Nutrition Services, Andrea gained expertise working with Nancy Dell and Associates. Andrea has worked as a nutrition counselor with people of all ages. She worked with children from birth to 3 years old as a nutritionist for Easter Seals. As a Program Coordinator for WIC, Andrea provided nutrition education for women, infants, and children in Spanish and English. She has worked with adults and seniors in hospitals, nursing homes and rehabilitation centers.


Andrea earned her Bachelor's degree in Nutrition Management at Rochester Institute of Technology in New York and completed her internship at Syracuse University. She has received additional training in diabetes, lactation counseling, pediatric nutrition, eating disorders and autism. She has expert personal and professional knowledge of Celiac Disease. 

Andrea loves time with family especially at the beach!


Sienna Caron, MS, RDN, LDN

Sienna Caron, MS, RD, LDN - Sienna believes in finding individualized solutions to her clients’ nutrition and wellness goals. She is a great listener and works hard to find ways to make meaningful changes that will be sustainable in her clients’ lives. 

Sienna received her Bachelor of Science in Nutrition & Dietetics and her Master of Science in Nutrition & Wellness Promotion from Simmons University in Boston. While in school, she also worked as a diet technician at Massachusetts General Hospital in the Translational and Clinical Research center. In addition to research, she has always held a steadfast interest in the intersection of nutrition and fitness. She holds a Certificate of Sports Nutrition from Simmons and currently teaches the undergraduate sports nutrition course for the University of Saint Joseph, where she completed her dietetic internship. Having worked with people at all different fitness levels, she strives to find a balance of diet and movement that is best suited for each person. In addition, she has worked and interned in long term care, dialysis, and community nutrition settings.

In her spare time, Sienna enjoys painting, cooking, seeing live music, collecting vinyl records, and playing soccer!

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