Doc Nutrition Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DOC NUTRITION CLINIC

Practice address

185 Center St
Suite 1B
Wallingford, CT 06492-4100

Phone

(203) 269-2852

Fax

(203) 269-9852

NPI assigned

Jul 6, 2010

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Zola, MS, MSN, APRNNPI 1457663585

Title

Ceo/Owner

Phone

(203) 269-2852

Specialties & licenses 1

Addresses

Locations

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.

• Lisa Zola, MS, MSN, APRN-BC

  • Adult Health Nurse Practitioner
  • Lisle, IL
  • NPI 1457663585
  NPD (past) Authorized official

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1063724193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CENTER ST",
            "address_2": "SUITE 1B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924100",
            "telephone_number": "203-269-2852",
            "fax_number": "203-269-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST",
            "address_2": "SUITE 1B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924100",
            "telephone_number": "203-269-2852",
            "fax_number": "203-269-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC NUTRITION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "ZOLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "203-269-2852",
        "authorized_official_credential": "MS, MSN, APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dieterle
• Kristin Johnson Dinatale, PSY.D.
• John Dinkler, MD
• Ethan Dipasquale
• Claudia Doan, M.S., CCC-SLP
• Docaxt, Inc
• Santosh Doddamane, DO
• Hannah Donadio
• Patrick Francis Donnelly, CPO
• Maureen Doolittle, R.P.T

• Health Service Clinic/Center in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.