Organization Active NPI

Integrative Nutrition Solutions

  • Nutritionist
  • Waterbury, CT
National Provider Identifier
1356971998
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
INTEGRATIVE NUTRITION SOLUTIONS
Practice address
93 Wedgewood Dr
Waterbury, CT 06705-3611
Phone
(203) 231-9580
Fax
(203) 597-8656
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Jay Wolkoff, MS, CNS, CDN
Title
Owner
Phone
(203) 231-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

93 Wedgewood Dr
Waterbury, CT 06705-3611

Mailing address

93 Wedgewood Dr
Waterbury, CT 06705-3611
Phone (203) 231-9580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1356971998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-231-9580",
            "fax_number": "203-597-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-231-9580",
            "fax_number": "203-597-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE NUTRITION SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "WOLKOFF",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-231-9580",
        "authorized_official_credential": "MS, CNS, CDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.