Individual provider Active NPI

Allison Mary Giguere, M.S. R.D. L.D.N.

  • Registered Dietitian
  • Old Saybrook, CT
National Provider Identifier
1306186663
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001149 Issued in CT
Practice address
633 Middlesex Tpke
Old Saybrook, CT 06475-1220
Phone
(860) 388-8300
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 001149 CT Primary

Addresses

Primary practice location

633 Middlesex Tpke
Old Saybrook, CT 06475-1220

Mailing address

633 Middlesex Tpke
Old Saybrook, CT 06475-1220
Phone (860) 388-8300

Other practice location 1

23 Menunketesuck Dr
Clinton, CT 06413-1821
Phone (518) 524-4067

Other identifiers 1

IdentifierTypeStateIssuer
1306186663MedicaidMA

Other names 1

  • Mrs. Allison Mary Dilzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723000726 CT Practitioner - Registered Dietitian Or Nutrition Professional 5799927018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001149CTMDChiropractor

Organizations & group practices 2

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1306186663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751220",
            "telephone_number": "860-388-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751220",
            "telephone_number": "860-388-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Menunketesuck Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "CT",
            "postal_code": "064131821",
            "country_code": "US",
            "telephone_number": "518-524-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIGUERE",
        "first_name": "ALLISON",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.S. R.D. L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306186663",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "DILZER",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "MS, RD-N, CDN, CSOWM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.