Organization Active NPI

Nautical Nutrition Services LLC

  • Registered Dietitian
  • Norwich, CT
National Provider Identifier
1568108694
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NAUTICAL NUTRITION SERVICES LLC
Practice address
66 Franklin St
Norwich, CT 06360-5806
Phone
(860) 934-4926
Fax
(866) 823-8168
NPI assigned
May 11, 2022
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Serena Biondi, RDNPI 1780113019
Title
Owner/ Organizer
Phone
(860) 381-9619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

66 Franklin St
Norwich, CT 06360-5806

Mailing address

66 Franklin St
Norwich, CT 06360-5806
Phone (860) 934-4926

National Provider Directory

National Provider Directory

Locations

80 Norwich New London Tpke
Ste 31
Uncasville, CT 06382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1568108694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FRANKLIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605806",
            "telephone_number": "860-934-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FRANKLIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605806",
            "telephone_number": "860-934-4926",
            "fax_number": "866-823-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTICAL NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "BIONDI",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "OWNER/ ORGANIZER",
        "authorized_official_telephone_number": "860-381-9619",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.