Active NPI
Gina Barbetta, RD
- Registered Dietitian
- Durham, CT
National Provider Identifier
1326698333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000075
- Practice address
- 352 Main St
Durham, CT 06422-1645 - Phone
- (203) 206-3873
- NPI assigned
- Sep 12, 2019
- Last updated
- Sep 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000075 | CT | Primary |
Addresses
Primary practice location
352 Main St
Durham, CT 06422-1645
Mailing address
55 W Dayton Hill Rd
Wallingford, CT 06492-5309
Phone (203) 206-3873
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75 | CT | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charge Group LLC | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Durham, CT
- NPI 1013567031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1326698333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W DAYTON HILL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064925309",
"telephone_number": "203-206-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 MAIN ST",
"city": "DURHAM",
"state": "CT",
"postal_code": "064221645",
"telephone_number": "203-206-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBETTA",
"first_name": "GINA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.