NPIMap

Organization Active NPI

Whole Health Nutrition, PLLC

  • Registered Dietitian
  • Colchester, VT
National Provider Identifier
1205103017
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0740061847 Issued in VT
Legal business name
WHOLE HEALTH NUTRITION, PLLC
Practice address
302 Mountain View Dr.
Suite 101
Colchester, VT 05446
Phone
(802) 999-9207
Fax
(802) 488-5704
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Mrs. Leslie Langevin, MS, RD
Title
Co-Owner
Phone
(802) 999-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 0740061847 VT Primary

Addresses

Primary practice location

302 Mountain View Dr.
Suite 101
Colchester, VT 05446

Mailing address

302 Mountain View Dr.
Suite 101
Colchester, VT 05446
Phone (802) 999-9207

Other names 1

  • Whole Health Nutrition, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603000083 VT Part B Supplier - Clinic/Group Practice 9537382932 Receives reassigned benefits from 10 practitioners
Practice locations: Colchester, VT; White River Junction, VT

National Provider Directory

National Provider Directory

Locations

302 Mountain View Dr
Ste 101
Colchester, VT 05446
Phone (802) 999-9207

185 Tilley Dr
Ste 51
South Burlington, VT 05403
Phone (802) 860-3366

20 Winter Sport Ln
Ste 155
Williston, VT 05495
Phone (802) 999-9207

20 W Canal St
Ste C1
Winooski, VT 05404
Phone (802) 654-3562

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1205103017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR.",
            "address_2": "SUITE 101",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-999-9207",
            "fax_number": "802-488-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR.",
            "address_2": "SUITE 101",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-999-9207",
            "fax_number": "802-488-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "LANGEVIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "802-999-9207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "0740061847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Health Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.