Active NPI
Wendy R Kane, R.D.N., C.D.C.E.S
- Registered Dietitian
- Colchester, CT
National Provider Identifier
1568479780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- CT000410
- Practice address
- 57 Blackledge Drive
Colchester, CT 06415 - Phone
- (860) 338-3470
- NPI assigned
- Aug 1, 2006
- 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 | CT000410 | CT | Primary |
Addresses
Primary practice location
57 Blackledge Drive
Colchester, CT 06415
Mailing address
57 Blackledge Drive
Colchester, CT 06415
Phone (860) 338-3470
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000410 | CT | MD | Registered Dietitian |
| 000410 | CT | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1568479780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BLACKLEDGE DRIVE",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-338-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 BLACKLEDGE DRIVE",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-338-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "WENDY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "R.D.N., C.D.C.E.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "CT000410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.