NPIMap

Organization Active NPI

Fairfield County Lifestyle Consultants, LLC

  • Registered Dietitian
  • Fairfield, CT
National Provider Identifier
1003248311
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000684 Issued in CT
Legal business name
FAIRFIELD COUNTY LIFESTYLE CONSULTANTS, LLC
Practice address
1305 Post Rd
Suite 307
Fairfield, CT 06824-6016
Phone
(203) 256-0048
Fax
(203) 256-0049
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mrs. Nancy A. Murphy, R.D., C.D.E, C.D.-NNPI 1205875762
Title
Business Owner
Phone
(203) 256-0048

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 000684 CT Primary

Addresses

Primary practice location

1305 Post Rd
Suite 307
Fairfield, CT 06824-6016

Mailing address

1305 Post Rd
Suite 307
Fairfield, CT 06824-6016
Phone (203) 256-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140321001001 CT Part B Supplier - Clinic/Group Practice 7719118405 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, CT

National Provider Directory

National Provider Directory

Locations

1305 Post Rd
Ste 307
Fairfield, CT 06824
Phone (203) 256-0048

Practitioners & affiliated clinicians

Practitioners 2

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1003248311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "address_2": "SUITE 307",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-256-0048",
            "fax_number": "203-256-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 POST RD",
            "address_2": "SUITE 307",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246016",
            "telephone_number": "203-256-0048",
            "fax_number": "203-256-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY LIFESTYLE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "203-256-0048",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., C.D.E, C.D.-N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.