Organization Active NPI

Nutrition by Natalie, LLC

  • Registered Dietitian
  • Waterford, CT
National Provider Identifier
1265154504
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Aug 23, 2024

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, CSONPI 1891413282
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.