The Weight Loss & Diabetes Center, LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CNP141070 Issued in ME

Legal business name

THE WEIGHT LOSS & DIABETES CENTER, LLC

Doing business as

The Weight Loss & Diabetes Center

Practice address

1600 Congress St
Suite C
Portland, ME 04102-2143

Phone

(207) 699-4225

NPI assigned

Dec 15, 2016

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher John Mosunic, PHD

Title

Owner

Phone

(207) 699-4225

Specialties & licenses 2

Addresses

Other names 1

• The Weight Loss & Diabetes Center Doing business as

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1518401181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-699-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONGRESS ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022143",
            "telephone_number": "207-699-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEIGHT LOSS & DIABETES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MOSUNIC",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-699-4225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP141070",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Weight Loss & Diabetes Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acute Care Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Acute Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.