Active NPI
Kathleen S Labella, RD, CD-N
- Registered Dietitian
- Essex, CT
National Provider Identifier
1306155809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000544
- Practice address
- 1 Eagle Ridge Dr
Essex, CT 06426-1330 - Phone
- (860) 767-1535
- Fax
- (860) 767-1535
- NPI assigned
- Sep 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000544 | CT | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 000544 | CT |
Addresses
Primary practice location
1 Eagle Ridge Dr
Essex, CT 06426-1330
Mailing address
1 Eagle Ridge Dr
Essex, CT 06426-1330
Phone (860) 767-1535
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 |
|---|---|---|---|
| 000544 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1306155809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EAGLE RIDGE DR",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261330",
"telephone_number": "860-767-1535",
"fax_number": "860-767-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EAGLE RIDGE DR",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261330",
"telephone_number": "860-767-1535",
"fax_number": "860-767-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABELLA",
"first_name": "KATHLEEN",
"middle_name": "S",
"credential": "RD, CD-N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000544",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CT",
"license": "000544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.