SPC Nutrition Coaching, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SPC NUTRITION COACHING, LLC

Practice address

555 Highland Ave # 25
Cheshire, CT 06410-2255

Phone

(203) 272-4797

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Susan Cohen, RDNNPI 1932466075

Title

Owner

Phone

(203) 272-4797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Parker Cohen, RD, CD-N

  • Registered Dietitian
  • Cheshire, CT
  • NPI 1932466075

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Danielle Marinucci, LCSW

  • Social Worker
  • Cheshire, CT
  • NPI 1639515463
  NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1508599135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE STE 25",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102255",
            "telephone_number": "203-272-4797",
            "fax_number": "866-252-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE # 25",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102255",
            "telephone_number": "203-272-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPC NUTRITION COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-272-4797",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balazs Bela Somogyi, MD
• Spadola & Vincent, DMD, LLC
• Carl J Spadola, DMD
• Krenar Spahiu
• Claudia B Spaulding, M.D.
• Courtney Blair Spector, LCSW
• Kasia Sroka, SPEECH THERAPIST
• Sharon St. Hillaire, DPT
• Maria N.C. Stack, M.D.
• David Stair, MD

• Registered Dietitian in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.