Organization Active NPI

Nourish by Gina LLC

  • Registered Dietitian
  • Durham, CT
National Provider Identifier
1013567031
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISH BY GINA LLC
Practice address
352 Main St
Durham, CT 06422-1645
Phone
(203) 206-3873
NPI assigned
Sep 12, 2019
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Gina Barbetta, RDNPI 1326698333
Title
Dietician
Phone
(203) 206-3873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

352 Main St
Durham, CT 06422-1645

Mailing address

55 W Dayton Hill Rd
Wallingford, CT 06492-5309
Phone (203) 206-3873

National Provider Directory

National Provider Directory

Locations

352 Main St
Durham, CT 06422
Phone (203) 206-3873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1013567031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W DAYTON HILL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925309",
            "telephone_number": "203-206-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MAIN ST",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221645",
            "telephone_number": "203-206-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH BY GINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "BARBETTA",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIETICIAN",
        "authorized_official_telephone_number": "203-206-3873",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.