Active NPI
Nutrition and Wellness Consulting, LLC
- Registered Dietitian
- Glastonbury, CT
National Provider Identifier
1134487507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000593
- Legal business name
- NUTRITION AND WELLNESS CONSULTING, LLC
- Practice address
- 300 Hebron Ave Ste 107
Glastonbury, CT 06033-2176 - Phone
- (860) 659-4656
- NPI assigned
- Apr 24, 2012
- 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
- Mrs. Ellen Metzger, R.D.
- Title
- Registered Dietitian
- Phone
- (860) 659-4656
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 | 000593 | CT | Primary |
Addresses
Primary practice location
300 Hebron Ave Ste 107
Glastonbury, CT 06033-2176
Mailing address
300 Hebron Ave Ste 107
Glastonbury, CT 06033-2176
Phone (860) 659-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730382375 | Other | CT | NPI NUMBER (NOT BUSINESS) |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1134487507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEBRON AVE STE 107",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332176",
"telephone_number": "860-659-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEBRON AVE STE 107",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332176",
"telephone_number": "860-659-4656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION AND WELLNESS CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "METZGER",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "860-659-4656",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER (NOT BUSINESS)",
"identifier": "1730382375",
"state": "CT"
}
],
"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 Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.