Charlotte Laguardia, MS, CNS
Individual provider Active NPI Nutritionist · Water Mill, NY
NPI 1124662523 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1124662523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 38 Scuttle Hole Rd
Water Mill, NY 11976-2518 - Phone
- (631) 374-5510
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
38 Scuttle Hole Rd
Water Mill, NY 11976-2518
Mailing address
38 Scuttle Hole Rd
Water Mill, NY 11976-2518
Other providers in Water Mill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.