Active NPI
Dorette F Lewis-Senior, ND
- Health Educator
- Trumbull, CT
National Provider Identifier
1598059297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 461148 | NY | MD | Nutrition Support Registered Nurse |
| 000302 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Drs2Health
- Nutrition Support Registered Nurse
- Trumbull, CT
- NPI 1073899019
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.