Organization Active NPI

Motivated Concepts, LLC

  • Registered Dietitian
  • Simsbury, CT
National Provider Identifier
1235739574
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MOTIVATED CONCEPTS, LLC
Doing business as
Amy Woodman
Farmington Valley Nutrition and Wellness
Practice address
720 Hopmeadow St Ste 4
Simsbury, CT 06070-2224
Phone
(860) 324-8963
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Amy G Woodman, RDNPI 1417580614
Title
Dietitian
Phone
(860) 324-8963

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

720 Hopmeadow St Ste 4
Simsbury, CT 06070-2224

Mailing address

1 Silver Brook LN
North Granby, CT 06060-1111
Phone (860) 324-8963

Other names 2

  • Amy Woodman Doing business as
  • Farmington Valley Nutrition and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717002219 CT Part B Supplier - Clinic/Group Practice 9638539000 Receives reassigned benefits from 1 practitioner
Practice locations: Simsbury, CT

National Provider Directory

National Provider Directory

Locations

720 Hopmeadow St
Ste 4
Simsbury, CT 06070
Phone (860) 324-8963

Practitioners & affiliated clinicians

Practitioners 2

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": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1235739574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SILVER BROOK LN",
            "city": "NORTH GRANBY",
            "state": "CT",
            "postal_code": "060601111",
            "telephone_number": "860-324-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOPMEADOW ST STE 4",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702224",
            "telephone_number": "860-324-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVATED CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "WOODMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "860-324-8963",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Woodman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farmington Valley Nutrition and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.