Individual provider Active NPI

Therese McConnell Nuzzolo, RDN

  • Registered Dietitian
  • Glastonbury, CT
National Provider Identifier
1073982047
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001364 Issued in CT
Practice address
26 Breeds Hill Rd
Nuzzolo Nutriton
Glastonbury, CT 06033-3733
Phone
(860) 888-9864
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 001364 CT Primary

Addresses

Primary practice location

26 Breeds Hill Rd
Nuzzolo Nutriton
Glastonbury, CT 06033-3733

Mailing address

26 Breed Hill Rd
Nuzzolo Nutrition
Glastonbury, CT 06033-3733
Phone (860) 888-9864

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

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1073982047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BREED HILL RD",
            "address_2": "NUZZOLO NUTRITION",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333733",
            "telephone_number": "860-888-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BREEDS HILL RD",
            "address_2": "NUZZOLO NUTRITON",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333733",
            "telephone_number": "860-888-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZOLO",
        "first_name": "THERESE",
        "middle_name": "MCCONNELL",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.