Active NPI
Carla Marie Sauza, RD
- Registered Dietitian
- Waterbury, CT
National Provider Identifier
1417544230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86173878
- Practice address
- 64 Robbins St
Waterbury, CT 06708-2600 - Phone
- (203) 573-7566
- NPI assigned
- Dec 28, 2020
- 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 | 86173878 | CT | Primary |
Addresses
Primary practice location
64 Robbins St
Waterbury, CT 06708-2600
Mailing address
31 Summerhill Rd Unit 31
Wallingford, CT 06492-3464
Phone (203) 598-6214
Other practice location 1
31 Summerhill Rd
Wallingford, CT 06492-3464
Phone (203) 598-6214
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 |
|---|---|---|---|
| 86173878 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1417544230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SUMMERHILL RD UNIT 31",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923464",
"telephone_number": "203-598-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082600",
"telephone_number": "203-573-7566"
}
],
"practiceLocations": [
{
"address_1": "31 Summerhill Rd",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "CT",
"postal_code": "064923464",
"country_code": "US",
"telephone_number": "203-598-6214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUZA",
"first_name": "CARLA",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "86173878",
"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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.