Organization Active NPI

CT Nutrition Consultants, LLC

  • Registered Dietitian
  • Farmington, CT
National Provider Identifier
1285914903
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1029 Issued in CT
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

Updated by the provider on Aug 25, 2011

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.