Antanina Belzer
Individual provider Active NPI Registered Dietitian · Cheshire, CT
NPI 1285429258 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1285429258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 59.002404
- Practice address
- 677 S Main St
Cheshire, CT 06410-3158 - Phone
- (203) 479-9047
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250423000389 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 7911422902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2404 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitian Driven LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
677 S Main St
Cheshire, CT 06410
Phone (203) 250-7577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 59.002404 | Yes |
Addresses
Primary practice location
677 S Main St
Cheshire, CT 06410-3158
Mailing address
677 S Main St
Cheshire, CT 06410-3158
Other providers in Cheshire, CT
- Kelsey Beckius
- Becoming You Center for Transformation
- Jason M Belejack
- Jessica M Bella
- Sara Beltran
- Gregory Norman Bemis
- Morgan Benham
- Joshua Berez
- Alvin H Berkon
- Natalie Bernard
All providers in Cheshire, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.