Active NPI
Nicole M Connolly, RD
- Registered Dietitian
- Pittsburgh, PA
National Provider Identifier
1447521653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003344
- Practice address
- 9100 Babcock Blvd
Pittsburgh, PA 15237-5815 - Phone
- (412) 367-6468
- NPI assigned
- Jan 19, 2012
- 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 | DN003344 | PA | Primary |
Addresses
Primary practice location
9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Mailing address
1287 Mars Evans City Rd
Evans City, PA 16033-3615
Phone (315) 439-4824
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 |
|---|---|---|---|
| DN003344 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1447521653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 MARS EVANS CITY RD",
"city": "EVANS CITY",
"state": "PA",
"postal_code": "160333615",
"telephone_number": "315-439-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 BABCOCK BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375815",
"telephone_number": "412-367-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.