Individual provider Active NPI

Lynn Erin Kurzawa, RD, CD-N

  • Registered Dietitian
  • Avon, CT
National Provider Identifier
1073753802
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001044 Issued in CT
Practice address
31A Ensign Drive
Avon, CT 06001
Phone
(860) 409-9125
Fax
(860) 674-8031
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 001044 CT Primary

Addresses

Primary practice location

31A Ensign Drive
Avon, CT 06001

Mailing address

31A Ensign Drive
Avon, CT 06001
Phone (860) 409-9125

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044CTMDFoot & Ankle Surgery Podiatrist
001044CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Physical Therapy and Sports Medicine, LLC Past Accepting new patients
The Perfect Workout PastSince Nov 1, 2012 Accepting new patients

Organizations & group practices 2

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1073753802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31A ENSIGN DRIVE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31A ENSIGN DRIVE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZAWA",
        "first_name": "LYNN",
        "middle_name": "ERIN",
        "name_prefix": "Miss",
        "credential": "RD, CD-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.