Active NPI
Holly J Niles, M.S.
- Nutritionist
- West Hartford, CT
National Provider Identifier
1205173648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 89 Lancaster Rd
Suite 9
West Hartford, CT 06119-1525 - Phone
- (860) 266-5866
- NPI assigned
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
89 Lancaster Rd
Suite 9
West Hartford, CT 06119-1525
Mailing address
89 Lancaster Rd
Suite 9
West Hartford, CT 06119-1525
Phone (860) 266-5866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3713 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyman Integrative Therapies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Integrative Medicine Physician
- Lenox, MA
- NPI 1508563594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1205173648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 LANCASTER RD",
"address_2": "SUITE 9",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191525",
"telephone_number": "860-266-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 LANCASTER RD",
"address_2": "SUITE 9",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191525",
"telephone_number": "860-266-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "HOLLY",
"middle_name": "J",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.