Individual provider Active NPI

Dorette F Lewis-Senior, ND

  • Health Educator
  • Trumbull, CT
National Provider Identifier
1598059297
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
239 Plattsville Rd
Trumbull, CT 06611-3427
Phone
(203) 374-5309
Fax
(203) 374-6856
NPI assigned
May 31, 2011
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Nutrition Support Registered Nurse 163WN1003X 461148 NY
Naturopath 175F00000X 000302 CT
Health Educator 174H00000X Primary

Addresses

Primary practice location

239 Plattsville Rd
Trumbull, CT 06611-3427

Mailing address

239 Plattsville Rd
Trumbull, CT 06611-3427
Phone (203) 374-5309

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

LicenseStateTypeSpecialty
461148NYMDNutrition Support Registered Nurse
000302CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healthcare & Consultation LLC Nutrition Support 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1598059297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PLATTSVILLE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113427",
            "telephone_number": "203-374-5309",
            "fax_number": "203-374-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PLATTSVILLE RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113427",
            "telephone_number": "203-374-5309",
            "fax_number": "203-374-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SENIOR",
        "first_name": "DORETTE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "NY",
            "license": "461148",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000302",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.