Active NPI
Nutrition by Natalie, LLC
- Registered Dietitian
- Waterford, CT
National Provider Identifier
1265154504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION BY NATALIE, LLC
- Doing business as
- Nutrition by Natalie, LLC
- Practice address
- 11 Boston Post Rd
Waterford, CT 06385-2401 - Phone
- (860) 371-5242
- NPI assigned
- Sep 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Natalie Rose Smith, MS, RDN, CSO
- Title
- Owner
- Phone
- (860) 371-5242
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
11 Boston Post Rd
Waterford, CT 06385-2401
Mailing address
4 Indian Valley Dr
Waterford, CT 06385-1106
Phone (860) 371-5242
Other names 1
- Nutrition by Natalie, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Waterford, CT
- NPI 1891413282
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1265154504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 INDIAN VALLEY DR",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851106",
"telephone_number": "860-371-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852401",
"telephone_number": "860-371-5242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION BY NATALIE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-14",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-371-5242",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, RDN, CSO"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrition by Natalie, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nutrition by Natalie, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.