Active NPI
Corinne S Zavaglia, MS, RDN
- Registered Dietitian
- Cromwell, CT
National Provider Identifier
1013389733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1376
- Practice address
- 101 West St
Cromwell, CT 06416-1931 - Phone
- (860) 854-6613
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1376 | CT | Primary |
Addresses
Primary practice location
101 West St
Cromwell, CT 06416-1931
Mailing address
20 Taunton St
Southington, CT 06489-3724
Phone (203) 915-6079
Other names 1
- Miss Corinne S Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1013389733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TAUNTON ST",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893724",
"telephone_number": "203-915-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WEST ST",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161931",
"telephone_number": "860-854-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVAGLIA",
"first_name": "CORINNE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORINNE",
"last_name": "LARSON",
"middle_name": "S",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.