Active NPI
Nutrition Made Simple LLC
- Registered Dietitian
- Milford, CT
National Provider Identifier
1104537216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION MADE SIMPLE LLC
- Practice address
- 53 River St
Milford, CT 06460-3346 - Phone
- (203) 770-0475
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Leigh
- Title
- RDN
- Phone
- (203) 770-0475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
53 River St
Milford, CT 06460-3346
Mailing address
53 River St
Milford, CT 06460-3346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1451 | Other | CT | RDN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | nutritionmadesimple.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
53 River St
Ste 10
Milford, CT 06460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1104537216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603346",
"telephone_number": "203-770-0475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION MADE SIMPLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "LEIGH",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "RDN",
"authorized_official_telephone_number": "203-770-0475"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDN LICENSE",
"identifier": "1451",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "nutritionmadesimple.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "53 River St",
"city": "Milford",
"state": "CT",
"country_code": "US",
"postal_code": "064603346",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.