Carla Hooper Angevine

Individual provider Active NPI Registered Dietitian · Torrington, CT

NPI 1295947091 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295947091
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
000528 (CT)
Practice address
540 Litchfield St
Torrington, CT 06790-6679
Phone
(860) 496-6666
Fax
(860) 496-6770
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
000528CTMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: carla.angevine@xdr.hhchealthdirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000528 CT Yes

Addresses

Primary practice location

540 Litchfield St
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

Other providers in Torrington, CT

All providers in Torrington, CT · Registered Dietitian in Connecticut

Sources for this page

Verify at the official NPI Registry.