Active NPI
Ellen Carol Ronsivalli, RD
- Registered Dietitian
- South Windsor, CT
National Provider Identifier
1275957920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 671730
- Practice address
- 70 High Street
South Windsor, CT 06074 - Phone
- (860) 966-8507
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 671730 | NJ | Primary |
Addresses
Primary practice location
70 High Street
South Windsor, CT 06074
Mailing address
70 High St
South Windsor, CT 06074-1344
Phone (860) 966-8507
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671730 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1275957920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 HIGH ST",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060741344",
"telephone_number": "860-966-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HIGH STREET",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "06074",
"telephone_number": "860-966-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONSIVALLI",
"first_name": "ELLEN",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "671730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.