Active NPI
Elissa Marie Violino, MS RD CDN CDE
- Registered Dietitian
- Greenwich, CT
National Provider Identifier
1114011392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000579
- Practice address
- 4 Dearfield Drive
Suite 102
Greenwich, CT 06831 - Phone
- (203) 622-4416
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 000579 | CT | Primary |
Addresses
Primary practice location
4 Dearfield Drive
Suite 102
Greenwich, CT 06831
Mailing address
4 Martine Avenue
Apt 210
White Plains, NY 10606
Phone (914) 441-6374
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00579 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114011392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MARTINE AVENUE",
"address_2": "APT 210",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10606",
"telephone_number": "914-441-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DEARFIELD DRIVE",
"address_2": "SUITE 102",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06831",
"telephone_number": "203-622-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLINO",
"first_name": "ELISSA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS RD CDN CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.