Organization Active NPI

Tha Natural Nutritionist LLC

  • Registered Dietitian
  • Danbury, CT
National Provider Identifier
1003120809
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00849120 Issued in NY
Legal business name
THA NATURAL NUTRITIONIST LLC
Practice address
103 Mill Plain Rd
Suite 1
Danbury, CT 06811-5171
Phone
(203) 790-4700
Fax
(203) 790-4601
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Ms. Mary Beth Augustine, RD
Title
Director/Owner
Phone
(203) 790-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 00849120 NY Primary

Addresses

Primary practice location

103 Mill Plain Rd
Suite 1
Danbury, CT 06811-5171

Mailing address

103 Mill Plain Rd
Suite 1
Danbury, CT 06811-5171
Phone (203) 790-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1003120809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MILL PLAIN RD",
            "address_2": "SUITE 1",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115171",
            "telephone_number": "203-790-4700",
            "fax_number": "203-790-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MILL PLAIN RD",
            "address_2": "SUITE 1",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115171",
            "telephone_number": "203-790-4700",
            "fax_number": "203-790-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THA NATURAL NUTRITIONIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "203-790-4700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "00849120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.