Colleen Elizabeth Wall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1188 Issued in CT

Practice address

366 Federal Rd
Brookfield, CT 06804-2406

Phone

(203) 775-1819

Fax

(203) 775-2028

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Colleen Elizabeth Shemeley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Brian P Conner LLC

  • Chiropractor
  • Brookfield, CT
  • NPI 1932549953
  NPD (past)
• Healthy Weighs LLC

  • Registered Dietitian
  • Brookfield, CT
  • NPI 1730521345

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1144648510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042406",
            "telephone_number": "203-775-1819",
            "fax_number": "203-775-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042406",
            "telephone_number": "203-775-1819",
            "fax_number": "203-775-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "SHEMELEY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ileana Velazquez, LCSW
• Kelly Lynn Viera, LIFE COACH
• Barbara G Vigue, RN LPC
• Christine Rosanne Waldron, DDS
• Walgreen Co (Rite Aid #17671)
• Karen Melinda Warhit, O T R
• Larry Stephen Wasser, M.D.
• John William Watters, COTA
• Melissa Weiner, M.A., LPC
• Well Adjusted LLC

• Registered Dietitian in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.