Organization Active NPI

Nutrition Solutions for Life LLC

  • Registered Dietitian
  • Collinsville, CT
National Provider Identifier
1609105089
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00196 Issued in CT
Legal business name
NUTRITION SOLUTIONS FOR LIFE LLC
Practice address
109 Torrington Ave
Collinsville, CT 06019-3326
Phone
(860) 930-3672
NPI assigned
Dec 15, 2009
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Teresa Martin Dotson, RDNPI 1558452896
Title
Owner/Registered Dietitian
Phone
(860) 930-3672

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 00196 CT Primary

Addresses

Primary practice location

109 Torrington Ave
Collinsville, CT 06019-3326

Mailing address

PO Box 206
Collinsville, CT 06022-0206
Phone (860) 930-3672

National Provider Directory

National Provider Directory

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": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1609105089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060220206",
            "telephone_number": "860-930-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TORRINGTON AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193326",
            "telephone_number": "860-930-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SOLUTIONS FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "860-930-3672",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "00196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.