Individual provider Active NPI

Gina Marie Fregosi, RDN, CDN, LDN

  • Registered Dietitian
  • Suffield, CT
National Provider Identifier
1376074898
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000781 Issued in CT
Practice address
11 High St
Suite 111
Suffield, CT 06078-2125
Phone
(860) 652-5719
NPI assigned
Mar 26, 2017
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2613 MA
Registered Dietitian 133V00000X 000781 CT Primary

Addresses

Primary practice location

11 High St
Suite 111
Suffield, CT 06078-2125

Mailing address

11 High St
Suite 111
Suffield, CT 06078-2125
Phone (860) 652-5719

Other names 1

  • Gina Martin Former name

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

LicenseStateTypeSpecialty
2613MAMDAthletic Trainer
000781CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Barrato Dba Nutrigreene Dietitian, Registered PastSince May 16, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1376074898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGH ST",
            "address_2": "SUITE 111",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-652-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HIGH ST",
            "address_2": "SUITE 111",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782125",
            "telephone_number": "860-652-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREGOSI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "RDN, CDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2613",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.