Active NPI
Marissa Vecca
- Registered Dietitian
- Shelton, CT
National Provider Identifier
1013761493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2465
- Practice address
- 4 Meghan CT
Shelton, CT 06484-6505 - Phone
- (203) 305-6860
- NPI assigned
- Apr 12, 2024
- 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 | 2465 | CT | Primary |
Addresses
Primary practice location
4 Meghan CT
Shelton, CT 06484-6505
Mailing address
4 Meghan CT
Shelton, CT 06484-6505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2465 | CT | MD | Professional Counselor |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1013761493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MEGHAN CT",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEGHAN CT",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846505",
"telephone_number": "203-305-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECCA",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "2465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.