Nicole Sun Cirilli, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86089376 Issued in NY

Practice address

251-1 Mile Creek Rd
Old Lyme, CT 06371-1889

Phone

(860) 629-0022

NPI assigned

Jun 27, 2020

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• MHS Primary Care, Inc

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1336279058
  Medicare reassignment Care Compare group NPD
• Nicole Cirilli Nutrition LLC

  • Registered Dietitian
  • Old Lyme, CT
  • NPI 1831812312

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• MHS Primary Care Inc

  dba Middlesex Health Concierge Medicine

  • Internal Medicine Physician
  • Essex, CT
  • NPI 1750276655
  NPD
• MHS Primary Care Inc.

  dba Middlesex Hospital Surgical Alliance

  • Surgery Physician
  • Middletown, CT
  • NPI 1740666312

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1154948990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251-1 MILE CREEK RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711889",
            "telephone_number": "860-629-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Saybrook Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574700",
            "country_code": "US",
            "telephone_number": "860-358-2970",
            "fax_number": "860-347-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIRILLI",
        "first_name": "NICOLE",
        "middle_name": "SUN",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86089376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Maria Buckingham
• Gabriell Budoff, AGNP-C
• Cambi Pediatrics, PLLC
• Kathryn M Cambi, MD
• Circulatory Centers Connecticut, LLC
• Karen Ann Claise, NP
• Elizabeth Jane Clark, D.D.S.
• William Clinton, LICENSED OPTICIAN
• Anthony Albert Corrao, D.D.S.
• Mary Cummings Satti, M.D.

• Registered Dietitian in Old Lyme, CT
• Providers in Old Lyme, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.