Active NPI
CT Nutrition Consultants, LLC
- Registered Dietitian
- Farmington, CT
National Provider Identifier
1285914903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1029
- Legal business name
- CT NUTRITION CONSULTANTS, LLC
- Practice address
- 5 Eastview Dr
Farmington, CT 06032-1231 - Phone
- (860) 404-2823
- Fax
- (860) 255-7397
- NPI assigned
- Aug 25, 2011
- 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
- Mary Ellen Campbell, MS, RD, CD-N
- Title
- Co-Owner
- Phone
- (860) 404-2823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1029 | CT | Primary |
Addresses
Primary practice location
5 Eastview Dr
Farmington, CT 06032-1231
Mailing address
5 Eastview Dr
Farmington, CT 06032-1231
Phone (860) 404-2823
National Provider Directory
National Provider DirectoryLocations
5 Eastview Dr
Farmington, CT 06032
Phone (860) 404-2823
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": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314230400000",
"number": "1285914903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EASTVIEW DR",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321231",
"telephone_number": "860-404-2823",
"fax_number": "860-255-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EASTVIEW DR",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321231",
"telephone_number": "860-404-2823",
"fax_number": "860-255-7397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CT NUTRITION CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "MARY ELLEN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "860-404-2823",
"authorized_official_credential": "MS, RD, CD-N"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.